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General NPI Number Information
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NPI Number | 1174866800
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Entity Type | Individual
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Provider Name | AYESHA K ASHAI M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/01/2013
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Last Update Date | 03/13/2020
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Provider Practice Location Address
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Address Line | 900 STATE ST STE 203B
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City | ERIE
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State | PA
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Zip | 16501-1426
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Country | US
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Telephone | 866-492-7597
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Fax |
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Provider Business Mailing Address
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Address Line | 2184 SEAVER LN
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-5007
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036148096
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | A147177
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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