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General NPI Number Information
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NPI Number | 1023927563
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Entity Type | Organization
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Legal Business Name | JUDY ASHOURI MD PLLC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 2301 UNIVERSITY BLVD W
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City | JACKSONVILLE
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State | FL
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Zip | 32217-2022
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Country | US
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Telephone | 904-874-6756
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Fax | 904-398-3871
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Provider Business Mailing Address
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Address Line | 2301 UNIVERSITY BLVD W
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City | JACKSONVILLE
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State | FL
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Zip | 32217-2022
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Country | US
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Telephone | 904-874-6756
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Fax | 904-398-3871
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Authorized Official
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Title or Position | MANAGER
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Name | JUDY ASHOURI
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Credential | MD
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Telephone | 904-874-6756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number |
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License Number State |
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