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General NPI Number Information
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NPI Number | 1043825060
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Entity Type | Individual
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Provider Name | ASHLEY HARTY ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/15/2020
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 260 W CONSTANCE RD
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City | DEBARY
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State | FL
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Zip | 32713-3957
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Country | US
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Telephone | 386-383-1745
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Fax |
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Provider Business Mailing Address
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Address Line | 260 W CONSTANCE RD
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City | DEBARY
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State | FL
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Zip | 32713-3957
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Country | US
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Telephone | 386-383-1745
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | APRN11009093
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | APRN11009093
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11009093
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License Number State | FL
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