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General NPI Number Information
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NPI Number | 1043792583
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Entity Type | Individual
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Provider Name | ASHLEY ANN CHILLINGWORTH
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Gender | Female
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Dates
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Enumeration Date | 08/31/2018
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 5697 CORAL RIDGE DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-3160
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Country | US
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Telephone | 954-473-1101
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Fax |
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Provider Business Mailing Address
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Address Line | 3387 CHICKEE LN
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City | MARGATE
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State | FL
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Zip | 33063-8368
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Country | US
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Telephone | 954-675-2343
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APRN9408881
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License Number State | FL
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