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General NPI Number Information
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NPI Number | 1346872983
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Entity Type | Individual
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Provider Name | ASHLEY MARIE ADAMS LPN
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Gender | Female
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Dates
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Enumeration Date | 02/11/2020
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 3705 E 35TH ST
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City | TEXARKANA
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State | AR
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Zip | 71854-2558
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Country | US
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Telephone | 903-293-5485
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Fax |
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Provider Business Mailing Address
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Address Line | 35 12TH ST SE
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City | PARIS
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State | TX
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Zip | 75460-6006
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Country | US
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Telephone |
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 123747
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License Number State | AR
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