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General NPI Number Information
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NPI Number | 1275649980
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Entity Type | Organization
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Legal Business Name | KENNETH H ASH MD PC
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 128 6TH ST SUITE D
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City | WINDSOR
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State | CO
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Zip | 80550-5160
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Country | US
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Telephone | 970-495-4685
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Fax |
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Provider Business Mailing Address
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Address Line | 128 6TH ST SUITE D
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City | WINDSOR
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State | CO
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Zip | 80550-5160
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Country | US
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Telephone | 970-495-4685
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KENNETH H ASH
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Credential | MD
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Telephone | 970-495-4685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 15431
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License Number State | CO
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