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General NPI Number Information
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NPI Number | 1730909854
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Entity Type | Individual
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Provider Name | ASHLEY LYNN LOVOLD LICSW, LADC
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Gender | Female
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 4615 GRAND AVE STE 300
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City | DULUTH
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State | MN
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Zip | 55807-2749
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Country | US
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Telephone | 612-767-0300
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Fax | 612-778-8768
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Provider Business Mailing Address
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Address Line | 2217 NICOLLET AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55404-3382
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Country | US
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Telephone | 612-286-1055
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Fax | 612-216-3514
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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