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General NPI Number Information
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NPI Number | 1457993735
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Entity Type | Individual
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Provider Name | ASHLEY CULICERTO ARVAY
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Gender | Female
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Dates
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Enumeration Date | 10/08/2019
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 1698 HIGHWAY 160 W STE 240
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City | FORT MILL
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State | SC
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Zip | 29708-8035
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Country | US
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Telephone | 704-654-8599
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Fax | 980-938-6088
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Provider Business Mailing Address
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Address Line | 1305 CENTRAL AVE APT 225
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City | CHARLOTTE
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State | NC
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Zip | 28205-5189
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Country | US
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Telephone | 304-250-5646
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5764
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 12706
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License Number State | NC
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