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General NPI Number Information
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NPI Number | 1043760416
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Entity Type | Individual
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Provider Name | ASHLEY R TALKINGTON APN-BC
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Gender | Female
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Dates
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Enumeration Date | 10/10/2016
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 20613 N BROAD ST
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City | CARLINVILLE
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State | IL
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Zip | 62626-3720
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Country | US
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Telephone | 217-854-3881
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Fax |
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Provider Business Mailing Address
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Address Line | 21552 KNOLL RD
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City | CARLINVILLE
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State | IL
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Zip | 62626-3671
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Country | US
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Telephone | 217-854-3881
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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 | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | 041.399236
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209.015348
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 277.002039
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License Number State | IL
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