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General NPI Number Information
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NPI Number | 1124630603
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Entity Type | Individual
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Provider Name | ASHLEY TOOLE
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Gender | Female
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Dates
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Enumeration Date | 08/17/2020
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 2483 S LINDEN RD STE 150
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City | FLINT
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State | MI
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Zip | 48532-5478
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Country | US
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Telephone | 810-308-0569
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Fax |
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Provider Business Mailing Address
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Address Line | 3516 KENT ST
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City | FLINT
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State | MI
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Zip | 48503-4510
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Country | US
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Telephone | 810-308-0569
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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