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General NPI Number Information
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NPI Number | 1093191330
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Entity Type | Organization
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Legal Business Name | AMY J ASTON LCSW PC
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Dates
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Enumeration Date | 08/10/2015
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 416 S MORGAN ST
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City | GRANBURY
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State | TX
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Zip | 76048-1958
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Country | US
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Telephone | 817-579-1606
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Fax | 817-579-1654
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Provider Business Mailing Address
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Address Line | PO BOX 579
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City | GRANBURY
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State | TX
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Zip | 76048-0579
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Country | US
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Telephone | 817-579-1606
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Fax | 817-579-1654
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Authorized Official
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Title or Position | COUNSELOR
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Name | MRS. AMY J ASTON
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Credential | LCSW
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Telephone | 817-579-1606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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