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General NPI Number Information
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NPI Number | 1881935518
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Entity Type | Individual
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Provider Name | ASHLEY PAYNE ABERNATHY LPC, LCDC
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Gender | Female
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Dates
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Enumeration Date | 03/05/2013
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 1833 W HUNT ST BLDG B
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City | MCKINNEY
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State | TX
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Zip | 75069-3367
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Country | US
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Telephone | 469-343-1901
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Fax |
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Provider Business Mailing Address
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Address Line | 505 N MORRIS ST
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City | MCKINNEY
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State | TX
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Zip | 75069-3645
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Country | US
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Telephone | 469-343-1901
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 11910
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 68005
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License Number State | TX
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