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General NPI Number Information
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NPI Number | 1508906454
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Entity Type | Individual
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Provider Name | SHELLEY BETH ASHTON-BRIGGS MA, LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 06/26/2010
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Provider Practice Location Address
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Address Line | 51 UNION ST STE 304
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City | WORCESTER
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State | MA
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Zip | 01608-1100
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Country | US
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Telephone | 508-523-2662
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Fax |
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Provider Business Mailing Address
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Address Line | 303 LEBANON HILL RD
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City | SOUTHBRIDGE
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State | MA
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Zip | 01550-3907
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Country | US
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Telephone | 508-523-2662
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6447
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License Number State | MA
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