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General NPI Number Information
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NPI Number | 1104783596
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Entity Type | Individual
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Provider Name | ASHLEY HURST MYERS PTA
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Gender | Female
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 12357 HAYNES ST
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City | CLINTON
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State | LA
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Zip | 70722-3717
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Country | US
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Telephone | 225-719-0522
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Fax |
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Provider Business Mailing Address
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Address Line | 6839 ANDREWS LN
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City | CLINTON
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State | LA
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Zip | 70722-4538
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Country | US
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Telephone | 225-719-0522
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | A09361
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License Number State | LA
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