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General NPI Number Information
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NPI Number | 1386045235
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Entity Type | Individual
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Provider Name | MS. ASHLEY COOPER
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Gender | Female
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Dates
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Enumeration Date | 09/10/2014
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 14 E 4TH ST RM 604
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City | NEW YORK
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State | NY
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Zip | 10012-1141
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Country | US
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Telephone | 203-529-5409
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Fax |
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Provider Business Mailing Address
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Address Line | 130 2ND PL APT 2
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City | BROOKLYN
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State | NY
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Zip | 11231-4144
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Country | US
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Telephone | 203-331-7688
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 008481
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License Number State | NY
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