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General NPI Number Information
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NPI Number | 1386127132
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Entity Type | Organization
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Legal Business Name | ASHLEY DASCOLA, LLC
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Dates
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Enumeration Date | 09/07/2018
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Last Update Date | 09/07/2018
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Provider Practice Location Address
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Address Line | 57 PLAINS RD STE 1A
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City | MILFORD
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State | CT
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Zip | 06461-2573
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Country | US
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Telephone | 203-585-4205
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Fax |
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Provider Business Mailing Address
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Address Line | 29 TANGLEWOOD CIR
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City | MILFORD
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State | CT
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Zip | 06461-1640
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Country | US
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Telephone | 203-253-7358
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY DASCOLA
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Credential | LPC
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Telephone | 203-585-4205
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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 | 3516
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License Number State |
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