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General NPI Number Information
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NPI Number | 1528507449
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Entity Type | Individual
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Provider Name | ASHLEY NICOLE NEWMAN ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 03/10/2022
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Provider Practice Location Address
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Address Line | 625 SCHOOLHOUSE RD STE 3
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City | LAKELAND
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State | FL
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Zip | 33813-2615
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Country | US
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Telephone | 863-225-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 4322 TOKOSE PL
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City | LAKELAND
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State | FL
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Zip | 33811-1430
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Country | US
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Telephone | 863-640-5606
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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 | ARNP9258757
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License Number State | FL
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