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General NPI Number Information
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NPI Number | 1487447843
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Entity Type | Individual
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Provider Name | ASHLEY KYERA FAYSON MD
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Gender | Female
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 400 N 17TH ST STE 300
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City | ALLENTOWN
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State | PA
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Zip | 18104-5052
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Country | US
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Telephone | 610-969-3500
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Fax | 610-969-3605
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Provider Business Mailing Address
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Address Line | 704 S JEFFERSON ST
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City | ALLENTOWN
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State | PA
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Zip | 18103-8054
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Country | US
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Telephone | 954-952-7852
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MT234918
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License Number State | PA
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