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General NPI Number Information
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NPI Number | 1992215610
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Entity Type | Individual
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Provider Name | ASHLEY KLAUSS
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Gender | Female
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Dates
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Enumeration Date | 10/08/2017
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Last Update Date | 10/08/2017
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Provider Practice Location Address
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Address Line | 2200 3RD AVE
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City | ROCK ISLAND
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State | IL
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Zip | 61201-8840
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Country | US
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Telephone | 309-779-2094
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Fax |
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Provider Business Mailing Address
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Address Line | 1905 WINDING HILL RD APT 701
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City | DAVENPORT
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State | IA
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Zip | 52807-1314
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Country | US
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Telephone | 773-558-5358
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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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