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General NPI Number Information
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NPI Number | 1023947108
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Entity Type | Individual
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Provider Name | ASHLEY ROSE LARDIE-DICKENS
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Gender | Female
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 7200 S ALTON WAY STE A100
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City | CENTENNIAL
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State | CO
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Zip | 80112-2207
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Country | US
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Telephone | 303-945-7063
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Fax | 855-568-2494
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Provider Business Mailing Address
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Address Line | 100 N PACIFIC COAST HWY FL 14
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City | EL SEGUNDO
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State | CA
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Zip | 90245-4359
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Country | US
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Telephone | 424-296-0126
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Fax | 855-568-2494
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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