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General NPI Number Information
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NPI Number | 1760294383
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Entity Type | Individual
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Provider Name | ASHLEY CANTO
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Gender | Female
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 7821 N DALE MABRY HWY
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City | TAMPA
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State | FL
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Zip | 33614-3275
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Country | US
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Telephone | 813-699-9390
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Fax |
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Provider Business Mailing Address
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Address Line | 540 TRINITY LN N APT 8212
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City | ST PETERSBURG
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State | FL
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Zip | 33716-1332
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Country | US
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Telephone | 317-519-5796
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW24104
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License Number State | FL
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