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General NPI Number Information
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NPI Number | 1871480293
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Entity Type | Individual
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Provider Name | ASHLEY CLIFTON LAC
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Gender | Female
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 1789 STACY SPRINGS RD S
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City | QUITMAN
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State | AR
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Zip | 72131-9401
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Country | US
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Telephone | 501-589-5891
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 93
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City | ROSE BUD
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State | AR
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Zip | 72137-0093
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Country | US
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Telephone | 501-239-8668
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A2506009
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License Number State | AR
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