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General NPI Number Information
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NPI Number | 1114413622
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Entity Type | Individual
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Provider Name | ASHLEY HARTOCH LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/09/2018
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Last Update Date | 07/10/2018
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Provider Practice Location Address
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Address Line | 300 PASTEUR DR
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City | STANFORD
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State | CA
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Zip | 94305
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Country | US
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Telephone | 650-850-1767
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Fax |
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Provider Business Mailing Address
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Address Line | 951-2 OLD COUNTY RD. #331
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City | BELMONT
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State | CA
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Zip | 94002
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Country | US
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Telephone | 818-642-3524
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 75271
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License Number State | CA
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