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General NPI Number Information
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NPI Number | 1225223613
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Entity Type | Individual
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Provider Name | ASHLEY SHARE PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 06/15/2020
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Provider Practice Location Address
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Address Line | 116 LONGVIEW DR
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City | WHITE HOUSE
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State | TN
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Zip | 37188-9163
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Country | US
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Telephone | 615-668-5197
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Fax |
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Provider Business Mailing Address
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Address Line | 8404 CEDAR GROVE RD
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City | CROSS PLAINS
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State | TN
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Zip | 37049-5109
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Country | US
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Telephone | 615-668-5197
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | P0000002364
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License Number State | TN
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