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General NPI Number Information
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NPI Number | 1023968104
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Entity Type | Individual
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Provider Name | ASHLYN WINTERS
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Gender | Female
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 36 WINN DR STE 100
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City | REXBURG
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State | ID
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Zip | 83440-5277
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Country | US
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Telephone | 208-356-0174
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Fax | 208-356-0176
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Provider Business Mailing Address
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Address Line | 707 S 5TH W APT 3100
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City | REXBURG
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State | ID
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Zip | 83440-5221
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2571893
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License Number State | ID
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