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General NPI Number Information
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NPI Number | 1891161956
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Entity Type | Organization
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Legal Business Name | HENDERSON COUNTY FREE MEDICAL CLINIC
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Dates
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Enumeration Date | 08/12/2015
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Last Update Date | 08/12/2015
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Provider Practice Location Address
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Address Line | 841 CASE ST
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-6503
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Country | US
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Telephone | 828-697-8422
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Fax | 828-697-8453
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Provider Business Mailing Address
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Address Line | 841 CASE ST
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-6503
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Country | US
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Telephone | 828-697-8422
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Fax | 828-697-8453
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JUDITH LONG
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Credential |
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Telephone | 828-697-8422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | SL003007
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License Number State | NC
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