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NPI 1376794982

NPI 1376794982 : ASHLEY BAYER DO : CORAL SPRINGS, FL

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General NPI Number Information
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    NPI Number           |    1376794982
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    Entity Type          |    Individual 
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    Provider Name        |    ASHLEY BAYER DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/02/2008
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    Last Update Date     |    12/14/2016
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Provider Practice Location Address
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    Address Line         |    8150 ROYAL PALM BLVD STE 105 
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    City                 |    CORAL SPRINGS
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    State                |    FL
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    Zip                  |    33065-5704
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    Country              |    US
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    Telephone            |    954-753-2810
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    Fax                  |    954-753-3104
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Provider Business Mailing Address
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    Address Line         |    2849 NE 35TH ST 
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    City                 |    LIGHTHOUSE POINT
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    State                |    FL
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    Zip                  |    33064-8561
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    Country              |    US
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    Telephone            |    727-224-1482
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    Fax                  |    954-753-3104
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    OS11297
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    License Number State |    FL
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