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General NPI Number Information
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NPI Number | 1003524836
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Entity Type | Individual
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Provider Name | ASHLEY M BELLES
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Gender | Female
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Dates
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Enumeration Date | 11/10/2022
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Last Update Date | 11/10/2022
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Provider Practice Location Address
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Address Line | 175 N WINTON RD
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City | ROCHESTER
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State | NY
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Zip | 14610-1936
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Country | US
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Telephone | 158-582-0846
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Fax |
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Provider Business Mailing Address
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Address Line | 1045 JAMES ST STE 100
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City | SYRACUSE
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State | NY
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Zip | 13203-2758
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Country | US
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Telephone | 585-820-8467
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 012949
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License Number State | NY
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