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General NPI Number Information
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NPI Number | 1861963852
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Entity Type | Organization
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Legal Business Name | ASHLEY GALVIN LLC
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Dates
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Enumeration Date | 12/17/2018
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Last Update Date | 12/17/2018
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Provider Practice Location Address
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Address Line | 762 POST RD
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City | DARIEN
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State | CT
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Zip | 06820-4719
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Country | US
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Telephone | 203-979-8081
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Fax |
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Provider Business Mailing Address
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Address Line | 11 HUNTZINGER DR
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City | GREENWICH
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State | CT
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Zip | 06831-4409
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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
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Name | MRS. ASHLEY GALVIN
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Credential | LCSW
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Telephone | 203-979-8081
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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 |
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License Number State |
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