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General NPI Number Information
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NPI Number | 1093347817
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Entity Type | Individual
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Provider Name | ASHLEY R WILSON DPT
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Gender | Female
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Dates
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Enumeration Date | 02/10/2020
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 9400 UNIVERSITY PKWY
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City | PENSACOLA
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State | FL
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Zip | 32514-5752
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Country | US
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Telephone | 850-208-6130
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Fax |
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Provider Business Mailing Address
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Address Line | 9400 UNIVERSITY PKWY
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City | PENSACOLA
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State | FL
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Zip | 32514-5752
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Country | US
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Telephone | 850-736-1119
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AL6365
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT41951
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License Number State | FL
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