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General NPI Number Information
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NPI Number | 1407423882
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Entity Type | Individual
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Provider Name | ASHLEY B REID DNP, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/05/2021
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Last Update Date | 07/15/2022
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Provider Practice Location Address
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Address Line | 1190 NW 95TH ST STE 107
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City | MIAMI
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State | FL
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Zip | 33150-2064
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Country | US
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Telephone | 305-696-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 4191 SW 135TH AVE
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City | DAVIE
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State | FL
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Zip | 33330-4754
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Country | US
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Telephone | 954-401-9389
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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 | 11012010
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License Number State | FL
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