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General NPI Number Information
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NPI Number | 1003300310
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Entity Type | Individual
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Provider Name | ASHLEY LAUREN DORTON PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 1223 MERCY DR
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City | MUSKEGON
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State | MI
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Zip | 49444-1829
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Country | US
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Telephone | 231-672-3500
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Fax | 231-672-6199
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Provider Business Mailing Address
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Address Line | 44 CORAL DR NE
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City | ROCKFORD
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State | MI
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Zip | 49341-8514
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Country | US
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Telephone | 616-648-6645
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601008619
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License Number State | MI
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