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General NPI Number Information
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NPI Number | 1891519476
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Entity Type | Organization
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Legal Business Name | ASHLEY SMITH LMFT
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 1333 VAN BEURDEN DR STE 101
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City | LOS OSOS
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State | CA
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Zip | 93402-3384
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Country | US
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Telephone | 805-391-0829
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 626
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City | KERNVILLE
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State | CA
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Zip | 93238-0626
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Country | US
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Telephone | 805-391-0829
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Fax |
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Authorized Official
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Title or Position | LICENSED MARRIAGE FAMILY THERAPIST
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Name | ASHLEY JANINE SMITH
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Credential | MS, LMFT
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Telephone | 805-391-0829
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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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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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