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General NPI Number Information
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NPI Number | 1841806510
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Entity Type | Individual
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Provider Name | ASHLEY SIERRA COPEN MSW, LICSW
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Gender | Female
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Dates
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Enumeration Date | 09/18/2020
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 303 OHIO AVE
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City | CHARLESTON
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State | WV
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Zip | 25302-2212
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Country | US
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Telephone | 681-205-8720
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Fax |
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Provider Business Mailing Address
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Address Line | 104 ALEX LN
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City | CHARLESTON
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State | WV
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Zip | 25304-2952
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Country | US
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Telephone | 304-734-2040
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Fax | 304-734-2047
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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 | DP00945240
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | DP00945240
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License Number State | WV
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