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General NPI Number Information
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NPI Number | 1346879889
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Entity Type | Individual
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Provider Name | ASHLY THOMAS MD
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Gender | Female
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Dates
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Enumeration Date | 04/06/2020
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | 11107 DUNSTAN HILL DR
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City | RICHMOND
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State | TX
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Zip | 77407-1844
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Country | US
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Telephone | 908-265-3285
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Fax |
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Provider Business Mailing Address
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Address Line | 86 REDWOOD RD FL 3
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-2426
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Country | US
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Telephone | 908-265-3285
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | U5825
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License Number State | TX
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