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General NPI Number Information
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NPI Number | 1619201878
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Entity Type | Organization
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Legal Business Name | C. SCOTT ASHLEY, PA
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Dates
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Enumeration Date | 09/21/2009
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Last Update Date | 09/21/2009
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Provider Practice Location Address
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Address Line | 2101 FAIRVIEW LN
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City | SANFORD
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State | NC
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Zip | 27330-9842
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Country | US
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Telephone | 919-770-3596
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 FAIRVIEW LN
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City | SANFORD
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State | NC
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Zip | 27330-9842
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Country | US
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Telephone | 919-770-3596
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. CORNELIUS SCOTT ASHLEY
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Credential | LCSW
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Telephone | 919-770-3596
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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 | C006033
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License Number State | NC
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