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General NPI Number Information
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NPI Number | 1366104572
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Entity Type | Individual
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Provider Name | ASHLEY L. CAMPBELL LMFTA
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Gender | Female
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Dates
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Enumeration Date | 10/06/2021
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Last Update Date | 10/06/2021
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Provider Practice Location Address
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Address Line | 5700 SIX FORKS RD STE 202
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City | RALEIGH
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State | NC
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Zip | 27609-8616
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Country | US
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Telephone | 919-961-0334
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Fax |
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Provider Business Mailing Address
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Address Line | 197 ASHPOLE TRL
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City | CLAYTON
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State | NC
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Zip | 27520-1773
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Country | US
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Telephone | 252-363-2214
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 12327A
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License Number State | NC
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