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General NPI Number Information
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NPI Number | 1982296372
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Entity Type | Individual
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Provider Name | ASHLEY MACLIN MCCLINTOCK LMSW
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Gender | Female
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Dates
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Enumeration Date | 02/07/2021
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Last Update Date | 02/07/2021
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Provider Practice Location Address
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Address Line | 311 NORTH ST STE 101
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City | WHITE PLAINS
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State | NY
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Zip | 10605-2232
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Country | US
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Telephone | 914-269-2393
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Fax |
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Provider Business Mailing Address
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Address Line | 25 1ST AVE
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City | NYACK
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State | NY
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Zip | 10960-2113
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Country | US
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Telephone | 845-598-9536
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL06564800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 109351
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License Number State | NY
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