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General NPI Number Information
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NPI Number | 1174810063
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Entity Type | Individual
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Provider Name | ASHLEY N TOTAH
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Gender | Female
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Dates
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Enumeration Date | 06/30/2011
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 1585 KANSAS AVE
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93405-7604
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Country | US
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Telephone | 805-781-4891
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Fax |
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Provider Business Mailing Address
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Address Line | 7680 SANTA YNEZ AVE
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City | ATASCADERO
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State | CA
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Zip | 93422-4072
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Country | US
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Telephone | 925-787-4529
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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 | 124089
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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