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General NPI Number Information
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NPI Number | 1134136351
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Entity Type | Individual
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Provider Name | PETER THOMAS ASHLINE M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 08/26/2009
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Provider Practice Location Address
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Address Line | 175 MARY ST
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City | BOONE
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State | NC
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Zip | 28607-5025
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Country | US
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Telephone | 828-264-9664
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Fax | 828-264-8144
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Provider Business Mailing Address
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Address Line | PO BOX 60122
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City | CHARLOTTE
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State | NC
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Zip | 28260-0122
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Country | US
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Telephone | 828-264-9664
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Fax | 828-264-8144
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 33937
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License Number State | NC
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