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General NPI Number Information
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NPI Number | 1477730216
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Entity Type | Individual
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Provider Name | ASHLEY MICHELLE BROWN-BOYD LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 08/09/2018
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Provider Practice Location Address
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Address Line | 1400 COLLEGE DR. STE 204
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City | TEXARKANA
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State | TX
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Zip | 75503
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Country | US
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Telephone | 903-791-1110
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Fax | 903-791-9353
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Provider Business Mailing Address
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Address Line | PO BOX 1326
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City | MARSHALL
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State | TX
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Zip | 75671-1326
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Country | US
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Telephone | 903-927-3782
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Fax | 903-927-1764
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 50927
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2477-C
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License Number State | AR
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