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General NPI Number Information
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NPI Number | 1972831683
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Entity Type | Organization
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Legal Business Name | WESTERN CAROLINA COUNSELING
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Dates
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Enumeration Date | 11/19/2009
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Last Update Date | 01/08/2010
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Provider Practice Location Address
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Address Line | 110 WILLIAMS ST
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-4543
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Country | US
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Telephone | 828-577-6678
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Fax |
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Provider Business Mailing Address
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Address Line | 2144 BLOWING ROCK RD APT 3
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City | BOONE
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State | NC
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Zip | 28607-6100
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING OWNER
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Name | MR. BRIAN FULEIHAN
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Credential |
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Telephone | 828-264-8576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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