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General NPI Number Information
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NPI Number | 1710546072
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Entity Type | Individual
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Provider Name | ASHLEIGH BOONE M.ED., EDS
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Gender | Female
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Dates
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Enumeration Date | 06/11/2019
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 8910 GREENEWAY COMMONS PL STE 201
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City | LOUISVILLE
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State | KY
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Zip | 40220-4065
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Country | US
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Telephone | 502-822-6623
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Fax |
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Provider Business Mailing Address
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Address Line | 6133 HAVEN HILL ROAD
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City | TERRE HAUTE
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State | IN
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Zip | 47802
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Country | US
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Telephone | 812-202-6095
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 10247590
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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