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General NPI Number Information
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NPI Number | 1649988031
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Entity Type | Individual
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Provider Name | ASHLEY HARRELL MA; M.ED.
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Gender | Female
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Dates
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Enumeration Date | 11/14/2022
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Last Update Date | 11/14/2022
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Provider Practice Location Address
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Address Line | 8335 ATTICA DR
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City | RIVERSIDE
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State | CA
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Zip | 92508-6104
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Country | US
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Telephone | 951-268-4107
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Fax |
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Provider Business Mailing Address
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Address Line | 231 E ALESSANDRO BLVD # A117
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City | RIVERSIDE
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State | CA
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Zip | 92508-5084
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Country | US
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Telephone | 951-623-6397
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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 |
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License Number State | CA
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