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General NPI Number Information
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NPI Number | 1265038822
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Entity Type | Individual
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Provider Name | ASHLEY LAUREN JOHNSON MSW, LISW
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Gender | Female
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Dates
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Enumeration Date | 12/09/2020
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Last Update Date | 04/13/2022
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Provider Practice Location Address
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Address Line | 987 S HIGH ST
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City | COLUMBUS
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State | OH
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Zip | 43206-2527
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Country | US
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Telephone | 614-468-8184
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Fax | 614-681-0546
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Provider Business Mailing Address
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Address Line | 820 S TERRACE AVE
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City | COLUMBUS
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State | OH
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Zip | 43204-2809
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Country | US
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Telephone | 614-738-0108
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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 | S.1802509
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.2203555
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License Number State | OH
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