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General NPI Number Information
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NPI Number | 1982187670
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Entity Type | Individual
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Provider Name | ASHLEY RENEE ORDWAY M.ED./ED.S
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Gender | Female
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Dates
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Enumeration Date | 09/10/2018
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Last Update Date | 09/10/2018
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Provider Practice Location Address
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Address Line | 4197 NW 86TH TERRACE
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City | GAINESVILLE
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State | FL
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Zip | 32606
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Country | US
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Telephone | 352-265-4357
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Fax |
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Provider Business Mailing Address
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Address Line | 3676 NW 23RD DR APT 307
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City | GAINESVILLE
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State | FL
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Zip | 32605-5676
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Country | US
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Telephone | 352-361-5589
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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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