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General NPI Number Information
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NPI Number | 1780311233
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Entity Type | Organization
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Legal Business Name | ASHTON THERAPEUTICS PLLC
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 350 SOUTHBRIDGE ST
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City | MOORESVILLE
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State | IN
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Zip | 46158-2794
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Country | US
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Telephone | 206-414-9022
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Fax |
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Provider Business Mailing Address
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Address Line | 589 SOUTHBRIDGE ST
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City | MOORESVILLE
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State | IN
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Zip | 46158-2858
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Country | US
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Telephone | 206-414-9022
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Fax | 317-548-1496
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Authorized Official
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Title or Position | PROVIDER
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Name | ASHLEY NICOLE ASHTON
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Credential | LICSW, LCSW, MHP
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Telephone | 206-595-4319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 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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