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General NPI Number Information
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NPI Number | 1871240457
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Entity Type | Individual
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Provider Name | ASHLEY HODGE DBH, EDD, LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/03/2022
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 2075 S COTTONWOOD DR
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City | TEMPE
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State | AZ
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Zip | 85282-3040
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Country | US
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Telephone | 480-692-7568
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Fax |
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Provider Business Mailing Address
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Address Line | 343 E DOBBINS RD
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City | PHOENIX
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State | AZ
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Zip | 85042-7713
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Country | US
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Telephone | 602-380-8523
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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 | LCSW-21948
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License Number State | AZ
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