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General NPI Number Information
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NPI Number | 1295434751
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Entity Type | Individual
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Provider Name | ASHLEY CHARLENE LEON ALONZO
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Gender | Female
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Dates
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Enumeration Date | 02/23/2023
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 100 PEARL ST
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City | HARTFORD
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State | CT
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Zip | 06103-4506
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Country | US
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Telephone | 323-205-7088
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Fax | 833-419-0181
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Provider Business Mailing Address
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Address Line | 176 PALISADE AVE
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City | JERSEY CITY
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State | NJ
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Zip | 07306-1121
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Country | US
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Telephone | 201-795-8375
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8297
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License Number State | CT
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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 | 37AC00647800
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License Number State | NJ
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