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General NPI Number Information
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NPI Number | 1689994915
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Entity Type | Individual
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Provider Name | ASHLEY NICOLE LAWRENCE LPC
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Gender | Female
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Dates
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Enumeration Date | 06/09/2010
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 425 W SABINE ST
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City | CARTHAGE
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State | TX
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Zip | 75633-2455
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Country | US
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Telephone | 903-690-0282
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 EDITH ST
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City | CARTHAGE
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State | TX
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Zip | 75633-2111
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Country | US
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Telephone | 903-407-5288
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 61729
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 61729
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License Number State | TX
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