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NPI 1366261786

NPI 1366261786 : ASHLIE NGUYEN PSYD : ROCHESTER, NY

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General NPI Number Information
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    NPI Number           |    1366261786
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    Entity Type          |    Individual 
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    Provider Name        |    ASHLIE NGUYEN PSYD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/03/2024
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    Last Update Date     |    01/20/2026
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Provider Practice Location Address
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    Address Line         |    2535 BRIGHTON HENRIETTA TOWN LINE RD 
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    City                 |    ROCHESTER
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    State                |    NY
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    Zip                  |    14623-2711
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    Country              |    US
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    Telephone            |    585-204-0294
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    794 WEGMAN RD 
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    City                 |    ROCHESTER
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    State                |    NY
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    Zip                  |    14624-1437
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    Country              |    US
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    Telephone            |    585-278-2073
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    
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    License Number State |    
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