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General NPI Number Information
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NPI Number | 1174495048
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Entity Type | Organization
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Legal Business Name | ASHLEY NP AESTHETICS PLLC
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Dates
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Enumeration Date | 09/20/2025
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Last Update Date | 09/20/2025
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Provider Practice Location Address
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Address Line | 95 WASHINGTON ST C/O GALLERY SALONS SUITE 165
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City | CANTON
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State | MA
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Zip | 02021
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Country | US
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Telephone | 617-545-9620
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Fax |
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Provider Business Mailing Address
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Address Line | 95 WASHINGTON ST C/O GALLERY SALONS SUITE 165
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City | CANTON
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State | MA
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Zip | 02021
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Country | US
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Telephone | 617-545-9620
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Fax |
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Authorized Official
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Title or Position | OWNER, NURSE PRACTITIONER
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Name | ASHLEY SANTOSPAGO
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Credential |
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Telephone | 617-610-9606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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