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General NPI Number Information
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NPI Number | 1093449613
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Entity Type | Individual
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Provider Name | ASHLEY N CRUMPLER LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/11/2022
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 525 W OAKLAND AVE STE 1
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City | JOHNSON CITY
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State | TN
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Zip | 37604-1673
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Country | US
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Telephone | 193-741-6279
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Fax |
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Provider Business Mailing Address
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Address Line | 1645 MURFREESBORO PIKE
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City | NASHVILLE
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State | TN
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Zip | 37217-2936
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Country | US
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Telephone | 937-416-2794
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0000011988
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License Number State | TN
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