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General NPI Number Information
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NPI Number | 1134296809
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Entity Type | Individual
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Provider Name | ASHLEY PUGEAU PEARSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 08/14/2019
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Provider Practice Location Address
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Address Line | 2113 GOVERNMENT ST STE I-2E
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564
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Country | US
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Telephone | 228-222-8006
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Fax |
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Provider Business Mailing Address
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Address Line | 3818 CHAUMONT CIR
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-8539
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Country | US
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Telephone | 504-319-2837
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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 | 6367
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C7032
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License Number State | MS
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