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General NPI Number Information
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NPI Number | 1275394280
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Entity Type | Individual
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Provider Name | MISS ASHLEY R PLANK
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Gender | Female
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Dates
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Enumeration Date | 01/17/2024
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 310 E MARKET ST
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City | TIFFIN
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State | OH
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Zip | 44883-2434
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Country | US
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Telephone | 419-448-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 2689 TOWNSHIP ROAD 32 S
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City | BELLEFONTAINE
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State | OH
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Zip | 43311-9735
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Country | US
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Telephone | 937-441-5609
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #2
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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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