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General NPI Number Information
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NPI Number | 1003471269
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Entity Type | Organization
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Legal Business Name | ASHLEY ROSSMAN EYE CARE
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Dates
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Enumeration Date | 05/03/2019
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 4070 CHARLEVOIX
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City | BAY HARBOR
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State | MI
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Zip | 49770
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Country | US
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Telephone | 231-487-5315
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Fax | 231-487-5316
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Provider Business Mailing Address
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Address Line | 4070 CHARLEVOIX
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City | BAY HARBOR
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State | MI
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Zip | 49770
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Country | US
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Telephone | 231-487-5315
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Fax | 231-487-5316
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Authorized Official
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Title or Position | PROVIDER
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Name | ASHLEY J ROSSMAN
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Credential | DO
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Telephone | 231-487-5315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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