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General NPI Number Information
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NPI Number | 1093461402
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Entity Type | Individual
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Provider Name | ASHLEY WOODFORD
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Gender | Female
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Dates
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Enumeration Date | 02/24/2022
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 2006 S BAGDAD RD STE 160
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City | LEANDER
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State | TX
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Zip | 78641-3578
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Country | US
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Telephone | 936-307-8045
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Fax |
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Provider Business Mailing Address
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Address Line | 7817 TESSERA PKWY
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City | LAGO VISTA
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State | TX
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Zip | 78645-4841
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Country | US
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Telephone | 936-307-8045
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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 | 86199
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License Number State | TX
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