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General NPI Number Information
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NPI Number | 1639586878
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Entity Type | Individual
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Provider Name | ASHTIN ANIO LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/21/2014
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 20103 OLD SCENIC HWY STE 7A
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City | ZACHARY
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State | LA
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Zip | 70791-7386
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Country | US
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Telephone | 225-305-7120
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Fax |
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Provider Business Mailing Address
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Address Line | 20103 OLD SCENIC HWY STE 7A
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City | ZACHARY
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State | LA
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Zip | 70791-7386
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Country | US
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Telephone | 225-305-7120
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 12883
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 12833
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License Number State | LA
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