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General NPI Number Information
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NPI Number | 1477331320
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Entity Type | Individual
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Provider Name | ASHLEY ANDERSEN
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Gender | Female
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 2220 EDWARD HOLLAND DR
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City | RICHMOND
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State | VA
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Zip | 23230-2519
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Country | US
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Telephone | 804-678-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 11185 COUNTRYSIDE LN
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-3194
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Country | US
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Telephone | 518-469-3971
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 0024188181
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 0024188181
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License Number State | VA
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