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General NPI Number Information
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NPI Number | 1013108695
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Entity Type | Individual
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Provider Name | ASHLEY BITTLE LCSW, PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 02/20/2018
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Provider Practice Location Address
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Address Line | 200 MERCY CIRCLE
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City | CAMP PENDLETON
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State | CA
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Zip | 92055
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Country | US
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Telephone | 760-719-3322
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 555191
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City | CAMP PENDLETON
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State | CA
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Zip | 92055-5191
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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 |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4006
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4793704-2501
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4793704-3501
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3523
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License Number State | CO
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