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General NPI Number Information
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NPI Number | 1518302447
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Entity Type | Individual
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Provider Name | ASHLEY B ZAWODNIAK DO
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Gender | Female
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Dates
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Enumeration Date | 05/06/2013
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 300 FORTENBERRY RD
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-3621
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Country | US
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Telephone | 321-492-0390
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Fax | 321-386-0743
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Provider Business Mailing Address
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Address Line | 300 FORTENBERRY ROAD
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City | MERRITT ISLAND
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State | FL
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Zip | 32952
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Country | US
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Telephone | 321-492-0390
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Fax | 321-386-0743
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 3079
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS20703
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License Number State | FL
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