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General NPI Number Information
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NPI Number | 1164244141
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Entity Type | Individual
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Provider Name | ASHLEY LOUISE EBNER PSYD
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Gender | Female
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 6600 WESTOWN PKWY
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City | WEST DES MOINES
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State | IA
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Zip | 50266-7707
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Country | US
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Telephone | 515-401-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 9479 PRIMO LN
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City | WEST DES MOINES
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State | IA
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Zip | 50266-8471
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Country | US
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Telephone | 507-210-9513
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 134119
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 134518
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License Number State | IA
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