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General NPI Number Information
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NPI Number | 1336429935
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Entity Type | Individual
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Provider Name | ASHLEY NICOLE CROSS LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/26/2011
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Last Update Date | 06/15/2020
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Provider Practice Location Address
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Address Line | 525 N TRYON ST STE 1600
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City | CHARLOTTE
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State | NC
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Zip | 28202-0213
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Country | US
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Telephone | 704-331-3959
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Fax | 800-381-1472
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Provider Business Mailing Address
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Address Line | 525 N TRYON ST STE 1600
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City | CHARLOTTE
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State | NC
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Zip | 28202-0213
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Country | US
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Telephone | 980-722-2270
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Fax | 704-405-8893
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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 | C007328
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License Number State | NC
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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 | C007328
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | C007328
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C007328
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License Number State | NC
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