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General NPI Number Information
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NPI Number | 1427914266
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Entity Type | Individual
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Provider Name | ASHLEY RUDNICK
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Gender | Female
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Dates
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Enumeration Date | 12/24/2025
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 7700 SW 104TH ST
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City | PINECREST
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State | FL
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Zip | 33156-3149
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Country | US
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Telephone | 305-279-7546
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Fax |
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Provider Business Mailing Address
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Address Line | 15095 SW 113TH TER
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City | MIAMI
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State | FL
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Zip | 33196-4306
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Country | US
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Telephone | 786-369-9145
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 9654365
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License Number State | FL
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