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General NPI Number Information
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NPI Number | 1164281481
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Entity Type | Individual
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Provider Name | ASHLEY SO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 25700 N 21ST AVE
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City | PHOENIX
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State | AZ
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Zip | 85085-8680
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Country | US
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Telephone | 623-445-5810
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Fax |
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Provider Business Mailing Address
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Address Line | 40233 N 2ND DR
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City | PHOENIX
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State | AZ
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Zip | 85086-0801
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Country | US
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Telephone | 480-388-2237
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 335800
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License Number State | AZ
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