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General NPI Number Information
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NPI Number | 1558844795
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Entity Type | Individual
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Provider Name | ASHLEY AGEE
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Gender | Female
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Dates
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Enumeration Date | 09/13/2018
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 4921 PROFESSIONAL CT STE 201E
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City | RALEIGH
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State | NC
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Zip | 27609-4913
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Country | US
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Telephone | 919-780-4413
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Fax |
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Provider Business Mailing Address
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Address Line | 2911 BENEVOLENCE DR
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City | RALEIGH
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State | NC
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Zip | 27610-8663
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Country | US
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Telephone | 919-810-0784
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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