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General NPI Number Information
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NPI Number | 1710152905
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Entity Type | Individual
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Provider Name | ASHLEY WILHITE CHEESEMAN LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 600 COUNTRY CLUB DR SUITE A
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City | GREENVILLE
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State | NC
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Zip | 27834-6386
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Country | US
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Telephone | 252-439-1011
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Fax | 252-439-1013
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Provider Business Mailing Address
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Address Line | 600 COUNTRY CLUB DR SUITE A
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City | GREENVILLE
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State | NC
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Zip | 27834-6386
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Country | US
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Telephone | 252-439-1011
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Fax | 252-439-1013
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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 | 1227
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License Number State | NC
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