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General NPI Number Information
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NPI Number | 1306306022
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Entity Type | Individual
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Provider Name | ASHLEY CUNDIFF NP
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Gender | Female
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Dates
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Enumeration Date | 03/20/2019
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 2804 FREDERICA ST STE 1
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City | OWENSBORO
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State | KY
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Zip | 42301-5407
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Country | US
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Telephone | 270-240-3633
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Fax | 270-574-8749
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Provider Business Mailing Address
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Address Line | 3245 MOUNT MORIAH AVE STE 10
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City | OWENSBORO
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State | KY
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Zip | 42303-7834
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Country | US
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Telephone | 270-663-0955
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Fax | 877-466-4151
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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 | 3013221
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License Number State | KY
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