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General NPI Number Information
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NPI Number | 1134892276
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Entity Type | Organization
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Legal Business Name | ASHLEY HARTMAN LCSW
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Dates
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Enumeration Date | 07/26/2021
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Last Update Date | 07/26/2021
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Provider Practice Location Address
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Address Line | 10540 S WESTERN AVE STE 208
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City | CHICAGO
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State | IL
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Zip | 60643-2529
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Country | US
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Telephone | 773-251-4687
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Fax |
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Provider Business Mailing Address
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Address Line | 15817 ORLAN BROOK DR UNIT 32
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City | ORLAND PARK
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State | IL
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Zip | 60462-5850
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY SCHUCH
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Credential |
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Telephone | 773-251-4687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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