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General NPI Number Information
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NPI Number | 1427606490
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Entity Type | Individual
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Provider Name | ASHLEY N NICHOLS PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/03/2019
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 11339 S PIKES PEAK DR
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City | PARKER
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State | CO
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Zip | 80138-7333
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Country | US
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Telephone | 720-588-4000
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Fax | 303-690-2810
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Provider Business Mailing Address
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Address Line | 6350 S HAVANA ST APT 632
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City | ENGLEWOOD
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State | CO
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Zip | 80111-5653
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Country | US
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Telephone | 989-293-4517
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA0007176
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License Number State | CO
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