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General NPI Number Information
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NPI Number | 1053779868
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Entity Type | Individual
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Provider Name | ASHLEY NICOLE HARRINAUTH M.A., M.B.A
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Gender | Female
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Dates
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Enumeration Date | 02/08/2016
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Last Update Date | 11/02/2025
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Provider Practice Location Address
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Address Line | 2420 MARTIN RD
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City | FAIRFIELD
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State | CA
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Zip | 94534-8651
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Country | US
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Telephone | 707-399-4520
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Fax |
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Provider Business Mailing Address
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Address Line | 1102 BUNKER CT
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City | FAIRFIELD
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State | CA
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Zip | 94533-9702
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Country | US
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Telephone | 916-287-1750
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 10487
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT121003
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License Number State | CA
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