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General NPI Number Information
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NPI Number | 1700134228
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Entity Type | Individual
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Provider Name | ASHLEY H. FREEMAN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 08/15/2012
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Last Update Date | 10/22/2019
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Provider Practice Location Address
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Address Line | 3408 WOODLAND AVE STE 102
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City | WEST DES MOINES
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State | IA
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Zip | 50266-6504
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Country | US
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Telephone | 152-577-1555
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Fax |
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Provider Business Mailing Address
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Address Line | 3408 WOODLAND AVE STE 102
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City | WEST DES MOINES
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State | IA
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Zip | 50266-6504
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Country | US
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Telephone | 152-577-1555
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0810004905
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 4327
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 0810004905
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 0810004905
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810004905
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License Number State | VA
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