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General NPI Number Information
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NPI Number | 1730511502
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Entity Type | Individual
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Provider Name | ASHLEY NICOLE DAVIS LPC-MHSP
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Gender | Female
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 03/06/2020
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Provider Practice Location Address
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Address Line | 245 S PETERS RD
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City | KNOXVILLE
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State | TN
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Zip | 37923-5204
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Country | US
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Telephone | 865-210-8208
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Fax | 865-240-2096
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Provider Business Mailing Address
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Address Line | 7361 CAROWINDS LN
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City | KNOXVILLE
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State | TN
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Zip | 37924-3869
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Country | US
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Telephone | 865-934-9655
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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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 |
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License Number State |
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