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General NPI Number Information
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NPI Number | 1295690667
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Entity Type | Individual
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Provider Name | ASHLEY BURTON
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Gender | Female
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 134 RIVERSTONE TER STE 103
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City | CANTON
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State | GA
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Zip | 30114-1705
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Country | US
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Telephone | 770-479-1985
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Fax |
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Provider Business Mailing Address
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Address Line | 3771 COURSON ST
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City | MARIETTA
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State | GA
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Zip | 30066-8530
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Country | US
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Telephone | 205-826-5364
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | GAA-NP004254
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License Number State | GA
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