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General NPI Number Information
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NPI Number | 1053053967
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Entity Type | Individual
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Provider Name | ASHLEY TEMITOPE AGUNBIADE
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Gender | Female
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 5619 N. FIGUEROA ST.
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City | LOS ANGELES
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State | CA
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Zip | 90042
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Country | US
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Telephone | 818-275-4426
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Fax |
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Provider Business Mailing Address
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Address Line | 3767 CLARINGTON AVE APT 341
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City | LOS ANGELES
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State | CA
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Zip | 90034-5844
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Country | US
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Telephone | 213-245-0403
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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