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NPI 1821458167

NPI 1821458167 : ASHLEY WARHOL PSY.D. : WEST BOYLSTON, MA

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General NPI Number Information
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    NPI Number           |    1821458167
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    Entity Type          |    Individual 
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    Provider Name        |    ASHLEY WARHOL PSY.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/29/2016
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    Last Update Date     |    02/29/2016
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Provider Practice Location Address
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    Address Line         |    148 WORCESTER ST 
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    City                 |    WEST BOYLSTON
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    State                |    MA
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    Zip                  |    01583-1751
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    Country              |    US
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    Telephone            |    716-480-0557
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15 REDBUD WAY APT 34 
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    City                 |    MARLBOROUGH
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    State                |    MA
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    Zip                  |    01752-5925
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    10302
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    License Number State |    MA
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