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General NPI Number Information
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NPI Number | 1467143917
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Entity Type | Individual
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Provider Name | ASHLEY J RICHARDS LSW
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Gender |
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Dates
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Enumeration Date | 05/16/2023
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 3260 MILLERSPORT HWY APT 4
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City | GETZVILLE
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State | NY
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Zip | 14068-1479
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Country | US
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Telephone | 708-887-8379
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Fax |
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Provider Business Mailing Address
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Address Line | 3260 MILLERSPORT HWY APT 4
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City | GETZVILLE
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State | NY
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Zip | 14068-1479
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Country | US
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Telephone | 708-887-8379
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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