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General NPI Number Information
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NPI Number | 1528582095
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Entity Type | Individual
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Provider Name | ASHLEY HOLMES CLINICAL THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 07/26/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1615 RHODE ISLAND AVE NE
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City | WASHINGTON
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State | DC
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Zip | 20018-1802
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Country | US
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Telephone | 240-760-9753
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Fax |
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Provider Business Mailing Address
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Address Line | 156 DANBURY ST SW
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City | WASHINGTON
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State | DC
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Zip | 20032-2227
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LG50081325
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License Number State | DC
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