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General NPI Number Information
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NPI Number | 1780280305
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Entity Type | Individual
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Provider Name | ASCHA FAIRMON-HILL MS
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Gender | Female
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Dates
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Enumeration Date | 12/09/2020
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 2933 LAKEWOOD VILLAGE DR
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72116-8033
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Country | US
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Telephone | 501-435-1417
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 746873
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City | ATLANTA
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State | GA
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Zip | 30374-6873
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Country | US
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Telephone |
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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 | 9673-M
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License Number State | AR
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