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General NPI Number Information
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NPI Number | 1497421754
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Entity Type | Individual
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Provider Name | ASHLEY CANSU IRELAND OD
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Gender | Female
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Dates
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Enumeration Date | 08/17/2021
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 1801 N UNIVERSITY DR STE 102
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-6078
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Country | US
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Telephone | 954-442-1133
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 N UNIVERSITY DR STE 102
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-6078
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Country | US
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Telephone | 954-442-1133
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 618003066
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPFC100
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC6082
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License Number State | FL
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