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General NPI Number Information
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NPI Number | 1013602200
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Entity Type | Individual
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Provider Name | ASHLEY GRAY DPT
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Gender | Female
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Dates
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Enumeration Date | 04/05/2023
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Last Update Date | 04/06/2023
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Provider Practice Location Address
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Address Line | 3200 NORTHLINE AVE STE 160
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City | GREENSBORO
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State | NC
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Zip | 27408-7613
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Country | US
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Telephone | 336-545-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 105 ALISON LN
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City | ARCHDALE
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State | NC
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Zip | 27263-3457
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P21995
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License Number State | NC
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