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General NPI Number Information
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NPI Number | 1942855762
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Entity Type | Individual
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Provider Name | REBECCA BRANISTAREANU OT/L, LCSWA, LCAS
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Gender | Female
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Dates
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Enumeration Date | 08/08/2019
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Last Update Date | 01/25/2025
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Provider Practice Location Address
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Address Line | 1509 HAYWOOD RD STE C
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-2607
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Country | US
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Telephone | 828-257-4735
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Fax |
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Provider Business Mailing Address
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Address Line | 110 HORIZON MEADOWS RD
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City | ALEXANDER
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State | NC
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Zip | 28701-0138
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Country | US
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Telephone | 313-850-7812
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2710
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 13791
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P019349
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 29222
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 6586
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License Number State | TN
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