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General NPI Number Information
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NPI Number | 1215487905
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Entity Type | Individual
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Provider Name | ASHLEY ANDERSON
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Gender | Female
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Dates
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Enumeration Date | 10/06/2016
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 701 19TH ST S LHRB 509
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1926
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Country | US
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Telephone | 205-996-0882
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Fax |
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Provider Business Mailing Address
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Address Line | 1780 CHACE DR
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City | HOOVER
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State | AL
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Zip | 35244-3708
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Country | US
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Telephone | 256-762-7544
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1-143722
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1-143722
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License Number State | AL
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