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General NPI Number Information
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NPI Number | 1871019612
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Entity Type | Individual
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Provider Name | ASHLEY CIARAMITARO LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/14/2017
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Last Update Date | 05/14/2020
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Provider Practice Location Address
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Address Line | 4602 OAK HAVEN DR
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City | ORLANDO
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State | FL
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Zip | 32839-3191
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Country | US
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Telephone | 407-482-0404
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Fax |
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Provider Business Mailing Address
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Address Line | 2440 LAKE VISTA CT APT 304
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City | CASSELBERRY
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State | FL
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Zip | 32707-6469
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Country | US
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Telephone | 314-737-3083
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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 | 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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