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General NPI Number Information
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NPI Number | 1093084709
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Entity Type | Organization
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Legal Business Name | DEBRA M. ASHCRAFT, MD, LLC
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Dates
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Enumeration Date | 12/26/2011
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Last Update Date | 12/26/2011
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Provider Practice Location Address
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Address Line | 4828 THORPE AVE
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City | ORLANDO
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State | FL
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Zip | 32804-1156
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Country | US
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Telephone | 407-447-5886
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Fax | 407-447-5927
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Provider Business Mailing Address
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Address Line | 4828 THORPE AVE
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City | ORLANDO
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State | FL
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Zip | 32804-1156
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Country | US
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Telephone | 407-447-5886
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Fax | 407-447-5927
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEBRA M. ASHCRAFT
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Credential | M.D.
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Telephone | 407-447-5886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP1774
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME49757
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License Number State | FL
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