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General NPI Number Information
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NPI Number | 1245792076
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Entity Type | Individual
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Provider Name | ASHLEY DOYLE KHEMRAJ LAC, LMT
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Gender | Female
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Dates
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Enumeration Date | 04/01/2019
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 540 NE CEDAR ST
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City | CAMAS
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State | WA
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Zip | 98607-2048
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Country | US
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Telephone | 360-830-6222
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 593
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City | CAMAS
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State | WA
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Zip | 98607-0593
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Country | US
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Telephone | 360-830-6222
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 23-00068
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License Number State | KS
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