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General NPI Number Information
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NPI Number | 1033362462
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Entity Type | Individual
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Provider Name | ASHLEY CAROLYN REEDY PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/29/2008
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 14825 N OUTER FORTY RD STE 310
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City | CHESTERFIELD
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State | MO
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Zip | 63017
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Country | US
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Telephone | 314-442-4452
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Fax | 866-216-3928
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Provider Business Mailing Address
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Address Line | 14825 N OUTER FORTY RD STE 310
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City | CHESTERFIELD
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State | MO
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Zip | 63017
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Country | US
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Telephone | 314-442-4452
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Fax | 866-216-3928
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085003334
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 2010000950
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2010000950
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License Number State | MO
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