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General NPI Number Information
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NPI Number | 1174661607
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Entity Type | Individual
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Provider Name | ELLEN ASHLEY MCNALLY D.C.
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Gender | Female
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 06/18/2020
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Provider Practice Location Address
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Address Line | 189 GOVERNOR ST STE 101
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City | PROVIDENCE
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State | RI
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Zip | 02906-3124
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Country | US
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Telephone | 401-396-2010
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Fax | 401-396-2010
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Provider Business Mailing Address
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Address Line | 189 GOVERNOR ST STE 101
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City | PROVIDENCE
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State | RI
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Zip | 02906-3124
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Country | US
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Telephone | 401-396-2010
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Fax | 401-466-4050
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 011352
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3151
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DCP00554
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License Number State | RI
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