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General NPI Number Information
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NPI Number | 1518226869
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Entity Type | Individual
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Provider Name | ASHLYN ANN CELESTINE ANP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/07/2012
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Last Update Date | 08/15/2016
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Provider Practice Location Address
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Address Line | 506 6TH ST
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City | BROOKLYN
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State | NY
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Zip | 11215-3609
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Country | US
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Telephone | 718-768-4313
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Fax | 718-768-4324
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Provider Business Mailing Address
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Address Line | 757 E 51ST ST
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City | BROOKLYN
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State | NY
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Zip | 11203-5901
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Country | US
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Telephone | 212-363-0712
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F305485
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | F340792
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License Number State | NY
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