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General NPI Number Information
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NPI Number | 1134688716
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Entity Type | Individual
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Provider Name | ASHLEY A SMITH LPC
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Gender | Female
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Dates
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Enumeration Date | 03/13/2019
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Last Update Date | 03/13/2019
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Provider Practice Location Address
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Address Line | 248 COLUMBIA TPKE STE 210
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1205
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Country | US
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Telephone | 908-472-6516
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Fax |
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Provider Business Mailing Address
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Address Line | 61 W END AVE
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City | NORTH PLAINFIELD
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State | NJ
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Zip | 07060-4523
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Country | US
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Telephone | 908-472-6516
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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 | 37PC00651400
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License Number State | NJ
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