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General NPI Number Information
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NPI Number | 1053911974
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Entity Type | Individual
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Provider Name | ASHLEY L POWELL LISW
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Gender | Female
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Dates
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Enumeration Date | 10/29/2020
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 25111 COUNTRY CLUB BLVD STE 290
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-5330
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Country | US
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Telephone | 216-468-5002
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Fax |
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Provider Business Mailing Address
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Address Line | 903 CARNATION DR
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City | WAPAKONETA
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State | OH
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Zip | 45895-1114
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Country | US
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Telephone | 937-441-9086
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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 | I.2204092
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License Number State | OH
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