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General NPI Number Information
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NPI Number | 1487058434
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Entity Type | Individual
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Provider Name | ASHLEY ADAMS FNP
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Gender | Female
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Dates
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Enumeration Date | 10/20/2014
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Last Update Date | 02/26/2021
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Provider Practice Location Address
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Address Line | 9021 BELLA VERDE CT
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City | MYRTLE BEACH
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State | SC
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Zip | 29579-5110
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Country | US
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Telephone | 843-516-2024
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Fax | 843-796-1319
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Provider Business Mailing Address
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Address Line | PO BOX 70157
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City | MYRTLE BEACH
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State | SC
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Zip | 29572-0021
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Country | US
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Telephone | 843-516-2024
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Fax | 843-796-1319
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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 | 19062
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License Number State | SC
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