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General NPI Number Information
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NPI Number | 1104070796
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Entity Type | Individual
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Provider Name | MICHAEL A ASH M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2008
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Last Update Date | 07/22/2017
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Provider Practice Location Address
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Address Line | 251 E HURON ST FEINBERG 16-738
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City | CHICAGO
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State | IL
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Zip | 60611-2908
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Country | US
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Telephone | 816-201-4969
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Fax | 816-571-5969
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Provider Business Mailing Address
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Address Line | 987400 NEBRASKA MEDICAL CENTER
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City | OMAHA
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State | NE
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Zip | 68198-7400
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Country | US
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Telephone | 402-552-3389
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Fax | 402-552-3484
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036.105172
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License Number State | IL
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