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General NPI Number Information
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NPI Number | 1114693959
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Entity Type | Individual
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Provider Name | ELIZABETH ASHLEY PINKERTON DPT
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Gender | Female
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Dates
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Enumeration Date | 08/20/2021
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 106 E US HIGHWAY 80 STE G
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City | BLOOMINGDALE
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State | GA
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Zip | 31302-8914
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Country | US
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Telephone | 912-420-4910
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Fax | 912-600-1994
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Provider Business Mailing Address
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Address Line | 223 VICTORIA CIR
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City | GUYTON
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State | GA
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Zip | 31312-4973
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT018131
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License Number State | GA
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