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General NPI Number Information
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NPI Number | 1417804105
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Entity Type | Individual
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Provider Name | ASHLEY PHILLIPS CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 100 CORPORATE CENTER DR STE 100
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City | CAMP HILL
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State | PA
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Zip | 17011-1758
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Country | US
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Telephone | 717-763-1174
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Fax | 717-763-8960
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Provider Business Mailing Address
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Address Line | 5009 KYLOCK RD
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City | MECHANICSBURG
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State | PA
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Zip | 17055-4818
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Country | US
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Telephone | 717-763-1174
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Fax | 717-763-8960
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP035191
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License Number State | PA
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