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General NPI Number Information
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NPI Number | 1891158994
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Entity Type | Individual
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Provider Name | ASHLEY LOUIE PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/05/2016
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 825 FAIRFAX AVE SUITE 710
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City | NORFOLK
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State | VA
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Zip | 23507-1914
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Country | US
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Telephone | 757-446-5881
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Fax |
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Provider Business Mailing Address
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Address Line | 1442 S ALDEN ST
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City | WICHITA
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State | KS
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Zip | 67230-7722
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Country | US
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Telephone | 918-645-0947
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 02944
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License Number State | KS
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