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NPI 1366161523

NPI 1366161523 : ASHLEY BROOKE COLE EMBRY : SCOTTSVILLE, KY

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General NPI Number Information
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    NPI Number           |    1366161523
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    Entity Type          |    Individual 
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    Provider Name        |    ASHLEY BROOKE COLE EMBRY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/23/2022
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    Last Update Date     |    04/29/2025
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Provider Practice Location Address
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    Address Line         |    466 BURNLEY RD 
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    City                 |    SCOTTSVILLE
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    State                |    KY
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    Zip                  |    42164-6355
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    Country              |    US
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    Telephone            |    270-745-1585
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    Fax                  |    270-745-1592
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Provider Business Mailing Address
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    Address Line         |    380 SUWANNEE TRAIL ST 
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    City                 |    BOWLING GREEN
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    State                |    KY
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    Zip                  |    42103-7956
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    Country              |    US
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    Telephone            |    
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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       |    260299
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    License Number State |    KY
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