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General NPI Number Information
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NPI Number | 1154060085
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Entity Type | Organization
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Legal Business Name | KAREN ASHBAUGH LCSW LLC
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Dates
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Enumeration Date | 05/31/2022
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Last Update Date | 05/31/2022
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Provider Practice Location Address
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Address Line | 206 W 3RD AVE STE A
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City | WARREN
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State | PA
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Zip | 16365-5706
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Country | US
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Telephone | 814-730-2281
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Fax |
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Provider Business Mailing Address
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Address Line | 9 LAUFFER RD
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City | WARREN
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State | PA
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Zip | 16365-4836
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Country | US
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Telephone | 814-730-2281
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAREN ASHBAUGH
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Credential | LCSW
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Telephone | 814-730-2281
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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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