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General NPI Number Information
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NPI Number | 1265368963
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Entity Type | Individual
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Provider Name | ASHLYN SANDERS
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Gender | Female
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Dates
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Enumeration Date | 06/20/2026
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Last Update Date | 06/20/2026
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Provider Practice Location Address
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Address Line | 13113 LAKEMORE DR
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City | CHARLOTTE
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State | NC
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Zip | 28278-0182
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Country | US
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Telephone | 704-629-8240
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Fax |
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Provider Business Mailing Address
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Address Line | 409 W 26TH ST # 11202
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City | CHARLOTTE
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State | NC
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Zip | 28206-2621
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Country | US
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Telephone | 980-213-1290
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | NC
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