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General NPI Number Information
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NPI Number | 1548063365
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Entity Type | Individual
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Provider Name | ASHLEY L. TICAS
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Gender | Female
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 17501 SW 117TH AVE
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City | MIAMI
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State | FL
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Zip | 33177-2272
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Country | US
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Telephone | 305-254-9759
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Fax |
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Provider Business Mailing Address
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Address Line | 1077A WASHINGTON CIR # A
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City | HOMESTEAD
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State | FL
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Zip | 33034-3670
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Country | US
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Telephone | 786-572-5196
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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 | IMH26488
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License Number State | FL
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