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General NPI Number Information
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NPI Number | 1316814023
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Entity Type | Individual
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Provider Name | DR. ASHLEY DOUGLAS
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Gender | Female
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 900 WINCHESTER AVE
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City | MARTINSBURG
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State | WV
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Zip | 25401-1762
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Country | US
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Telephone | 304-901-5705
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Fax |
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Provider Business Mailing Address
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Address Line | 20 HEATHER DR
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City | MORGANTOWN
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State | WV
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Zip | 26505-3668
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Country | US
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Telephone | 304-901-5705
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP0008318
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License Number State | WV
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