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General NPI Number Information
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NPI Number | 1659940617
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Entity Type | Individual
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Provider Name | ASHLEY DAWN SWEEDEN LAC
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Gender | Female
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Dates
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Enumeration Date | 06/23/2021
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 509 S MAIN ST
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City | HOPE
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State | AR
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Zip | 71801-5207
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Country | US
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Telephone | 870-474-5001
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Fax |
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Provider Business Mailing Address
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Address Line | 1343 GREEN PLAINS RD
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City | DIERKS
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State | AR
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Zip | 71833-8822
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Country | US
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Telephone | 870-200-2510
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A2507005
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License Number State | AR
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