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General NPI Number Information
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NPI Number | 1952724478
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Entity Type | Individual
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Provider Name | ASHLEY SMITH MA
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Gender | Female
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Dates
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Enumeration Date | 02/04/2014
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Last Update Date | 02/05/2014
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Provider Practice Location Address
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Address Line | 6512 20TH STREET CT W STE B1
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City | FIRCREST
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State | WA
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Zip | 98466-6212
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Country | US
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Telephone | 253-740-8742
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Fax |
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Provider Business Mailing Address
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Address Line | 16229 PRAIRIE CREEK LOOP SE
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City | YELM
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State | WA
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Zip | 98597-7603
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Country | US
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Telephone | 253-740-8742
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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