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General NPI Number Information
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NPI Number | 1114816931
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Entity Type | Individual
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Provider Name | ASHLEIGH DAHL LMT
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Gender | Female
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 305 CLYDE MORRIS BLVD STE 220
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City | ORMOND BEACH
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State | FL
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Zip | 32174-8187
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Country | US
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Telephone | 386-800-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 BLACKWELDER RD
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City | DE LEON SPRINGS
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State | FL
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Zip | 32130-3919
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Country | US
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Telephone | 386-488-1128
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA77450
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License Number State | FL
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