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General NPI Number Information
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NPI Number | 1285133207
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Entity Type | Individual
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Provider Name | ASHLEY DENAE CHISHOLM PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 02/05/2018
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 4011B WARDS RD
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City | LYNCHBURG
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State | VA
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Zip | 24502-2943
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Country | US
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Telephone | 434-582-9838
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Fax |
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Provider Business Mailing Address
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Address Line | 6397 LEE HWY STE 300
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City | CHATTANOOGA
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State | TN
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Zip | 37421-2564
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Country | US
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Telephone | 423-238-7217
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Fax | 423-362-8684
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P19165
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 15554
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT013284
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305216326
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License Number State | VA
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