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General NPI Number Information
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NPI Number | 1417673872
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Entity Type | Individual
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Provider Name | ASHIA LAUREL WEHBE
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Gender | Female
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Dates
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Enumeration Date | 10/18/2022
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Last Update Date | 10/18/2022
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Provider Practice Location Address
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Address Line | 521 W FORT ISLAND TRL STE E
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429-8133
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Country | US
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Telephone | 352-563-5858
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Fax |
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Provider Business Mailing Address
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Address Line | 19706 SW 83RD PLACE RD APT B-8
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City | DUNNELLON
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State | FL
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Zip | 34432-2651
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Country | US
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Telephone | 406-599-3474
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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 | APRN11022073
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License Number State | FL
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