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General NPI Number Information
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NPI Number | 1265940191
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Entity Type | Individual
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Provider Name | ASHTON MARYEDITH HARDEN NP-C
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Gender | Female
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Dates
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Enumeration Date | 01/12/2018
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Last Update Date | 01/12/2018
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Provider Practice Location Address
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Address Line | 1189 ALLBRITTON RD
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City | WARRIOR
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State | AL
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Zip | 35180-2663
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Country | US
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Telephone | 205-244-3480
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Fax | 205-244-3484
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Provider Business Mailing Address
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Address Line | 501 COUNTY ROAD 1467
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City | CULLMAN
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State | AL
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Zip | 35055-0640
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Country | US
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Telephone | 205-544-9744
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-137556
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License Number State | AL
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