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General NPI Number Information
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NPI Number | 1154749489
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Entity Type | Individual
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Provider Name | ASHLEY ANNE MASIH M.S.P.T.
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Gender | Female
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Dates
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Enumeration Date | 04/03/2014
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Last Update Date | 11/09/2022
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Provider Practice Location Address
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Address Line | 11 ALEXANDER LN
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City | SUFFIELD
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State | CT
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Zip | 06078-2429
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Country | US
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Telephone | 774-230-6385
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Fax |
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Provider Business Mailing Address
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Address Line | 11 ALEXANDER LN
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City | SUFFIELD
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State | CT
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Zip | 06078-2429
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Country | US
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Telephone | 774-230-6385
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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 | 18765
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 7242
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 14654
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 009606
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License Number State | CT
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