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General NPI Number Information
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NPI Number | 1114395852
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Entity Type | Individual
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Provider Name | ASHLEY WAGNER CRNP
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Gender | Female
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Dates
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Enumeration Date | 09/11/2015
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 3302 15TH ST STE 100
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City | TUSCALOOSA
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State | AL
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Zip | 35401-2732
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Country | US
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Telephone | 205-558-0877
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Fax | 659-219-7033
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Provider Business Mailing Address
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Address Line | PO BOX 746063
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City | ATLANTA
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State | GA
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Zip | 30374-6063
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Country | US
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Telephone | 312-733-9730
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-141241
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License Number State | AL
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