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General NPI Number Information
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NPI Number | 1164217360
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Entity Type | Individual
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Provider Name | ASHLEY SONDROL
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Gender | Female
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 100 BLUEGRASS COMMONS BLVD STE 2200
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-2739
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Country | US
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Telephone | 248-784-5122
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Fax |
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Provider Business Mailing Address
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Address Line | 18520 NW 67TH AVE
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City | HIALEAH
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State | FL
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Zip | 33015-3302
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | CA124578
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License Number State | CA
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