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General NPI Number Information
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NPI Number | 1255222048
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Entity Type | Individual
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Provider Name | ASHLEY MAE NICHOLE HEROLD PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 707 LUNDORFF DR # 2
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City | SANDSTONE
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State | MN
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Zip | 55072-5099
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Country | US
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Telephone | 320-245-5500
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Fax | 320-245-5123
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Provider Business Mailing Address
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Address Line | 501 EISENHOWER ST APT 218
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City | SANDSTONE
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State | MN
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Zip | 55072-4713
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Country | US
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Telephone | 320-232-5053
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 126935
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License Number State | MN
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