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General NPI Number Information
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NPI Number | 1003377698
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Entity Type | Individual
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Provider Name | ASHLI ELIZABETH FITZPATRICK MD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 325 OLD PLEASANT GROVE RD
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City | MT JULIET
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State | TN
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Zip | 37122-4493
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Country | US
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Telephone | 629-255-2495
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Fax | 629-255-4263
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Provider Business Mailing Address
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Address Line | 222 22ND AVE N
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City | NASHVILLE
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State | TN
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Zip | 37203-1852
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Country | US
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Telephone | 629-255-3486
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Fax | 629-255-3075
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 68195
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License Number State | TN
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