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General NPI Number Information
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NPI Number | 1801650726
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Entity Type | Organization
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Legal Business Name | ASE HEALING SERVICES, LLC
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 3121 CROSSROADS STATION BLVD
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-1753
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Country | US
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Telephone | 719-445-9363
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Fax |
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Provider Business Mailing Address
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Address Line | 5142 N ACADEMY BLVD # 4211
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-4002
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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 | OWNER/THERAPIST
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Name | DENA SMITH
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Credential |
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Telephone | 719-445-9363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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