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General NPI Number Information
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NPI Number | 1114445111
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Entity Type | Individual
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Provider Name | ASHLEY FORD LAWSON LPC
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Gender | Female
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Dates
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Enumeration Date | 08/30/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 24478 PRINCE EDWARD HWY
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City | RICE
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State | VA
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Zip | 23966-2798
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Country | US
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Telephone | 434-392-9276
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Fax |
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Provider Business Mailing Address
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Address Line | 24478 PRINCE EDWARD HWY
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City | RICE
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State | VA
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Zip | 23966-2798
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Country | US
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Telephone | 434-392-9276
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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 | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701006691
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License Number State | VA
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