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General NPI Number Information
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NPI Number | 1639424740
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Entity Type | Individual
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Provider Name | ASHLEE FISHER LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/16/2012
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Last Update Date | 06/03/2020
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Provider Practice Location Address
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Address Line | 4002 PARK BLVD STE C
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City | SAN DIEGO
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State | CA
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Zip | 92103-2600
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Country | US
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Telephone | 858-386-7134
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Fax |
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Provider Business Mailing Address
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Address Line | 30777 RANCHO CALIFORNIA RD #890722
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City | TEMECULA
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State | CA
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Zip | 92591-3914
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Country | US
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Telephone | 512-534-9173
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 89061
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 203729
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License Number State | TX
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