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General NPI Number Information
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NPI Number | 1407225204
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Entity Type | Individual
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Provider Name | ASHLEY C HANCOCK LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/22/2015
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 625 6TH AVE S STE 305
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City | SAINT PETERSBURG
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State | FL
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Zip | 33701-4664
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Country | US
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Telephone | 727-321-3854
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Fax | 727-327-7670
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Provider Business Mailing Address
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Address Line | 701 94TH AVE N # 250
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-2448
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Country | US
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Telephone | 727-321-3854
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Fax | 727-327-7670
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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 | MH13268
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License Number State | FL
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