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General NPI Number Information
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NPI Number | 1063986131
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Entity Type | Individual
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Provider Name | ASHLEY ADRIENNE NICHOLS BC-HIS
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Gender | Female
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Dates
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Enumeration Date | 01/11/2019
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Last Update Date | 10/25/2021
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Provider Practice Location Address
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Address Line | 915 S MAIN ST STE F
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City | LAURINBURG
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State | NC
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Zip | 28352-4700
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Country | US
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Telephone | 910-276-1125
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Fax | 910-338-1846
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Provider Business Mailing Address
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Address Line | 2501 COTTONTAIL LN
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City | SOMERSET
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State | NJ
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Zip | 08873-5125
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Country | US
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Telephone | 732-960-6436
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Fax | 252-689-6029
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 1570
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License Number State | NC
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