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General NPI Number Information
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NPI Number | 1821812348
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Entity Type | Individual
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Provider Name | ASHLEY MARIE DIXON LMSW
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Gender | Female
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 2 NEVINS ST STE 4
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City | BROOKLYN
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State | NY
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Zip | 11217-1083
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Country | US
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Telephone | 718-312-6313
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Fax |
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Provider Business Mailing Address
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Address Line | 1824 PECK AVE
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City | BAY SHORE
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State | NY
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Zip | 11706-1523
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Country | US
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Telephone | 859-707-8440
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 124595
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License Number State | NY
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