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General NPI Number Information
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NPI Number | 1023719812
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Entity Type | Individual
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Provider Name | ASHANTI JACKSON LPN
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Gender | Female
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Dates
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Enumeration Date | 03/17/2023
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Last Update Date | 03/17/2023
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Provider Practice Location Address
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Address Line | 11200 TARA GLYNN DR
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City | HAMPTON
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State | GA
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Zip | 30228-2686
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Country | US
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Telephone | 314-386-7137
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Fax |
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Provider Business Mailing Address
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Address Line | 11200 TARA GLYNN DR
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City | HAMPTON
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State | GA
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Zip | 30228-2686
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Country | US
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Telephone | 314-736-0679
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 2018040059
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License Number State | MO
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