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General NPI Number Information
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NPI Number | 1023241643
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Entity Type | Individual
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Provider Name | ASHLEY KAY JOHNSTON PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/30/2009
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 38021 MARKET SQUARE DR
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-7504
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Country | US
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Telephone | 813-929-3600
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Fax | 813-355-5090
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Provider Business Mailing Address
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Address Line | 19106 CANDLE PL
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City | LUTZ
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State | FL
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Zip | 33548-5044
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Country | US
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Telephone | 813-294-1676
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9105048
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License Number State | FL
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