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General NPI Number Information
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NPI Number | 1265067904
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Entity Type | Individual
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Provider Name | ASHLEY PEUGH MSW, LISW, CDCA
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Gender | Female
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Dates
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Enumeration Date | 03/03/2020
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 134 MIDDLE AVE
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City | ELYRIA
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State | OH
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Zip | 44035-5663
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Country | US
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Telephone | 216-386-0279
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Fax |
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Provider Business Mailing Address
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Address Line | 600 SUPERIOR AVE STE 2650
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City | CLEVELAND
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State | OH
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Zip | 44114-2614
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Country | US
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Telephone | 216-386-0279
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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 | 2107051
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License Number State | OH
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