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General NPI Number Information
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NPI Number | 1386559771
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Entity Type | Individual
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Provider Name | ASHLEY E SHORTRIDGE
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Gender | Female
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 329 WESLEY ST
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City | JOHNSON CITY
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State | TN
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Zip | 37601-1721
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Country | US
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Telephone | 423-631-0055
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Fax |
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Provider Business Mailing Address
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Address Line | 47 VIERS CT
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City | LEBANON
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State | VA
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Zip | 24266-3953
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Country | US
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Telephone | 276-451-1037
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024198410
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License Number State | VA
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