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General NPI Number Information
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NPI Number | 1003212382
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Entity Type | Individual
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Provider Name | ASHLEY DEGUTIS NP
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Gender | Female
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Dates
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Enumeration Date | 11/13/2014
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 1560 S HIGH ST
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City | COLUMBUS
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State | OH
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Zip | 43207-1803
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Country | US
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Telephone | 614-274-1455
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Fax | 614-274-1433
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Provider Business Mailing Address
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Address Line | 90 JACKSON PIKE
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City | GALLIPOLIS
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State | OH
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Zip | 45631-1560
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Country | US
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Telephone | 855-446-5937
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Fax | 740-395-8506
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 16714
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License Number State | OH
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