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General NPI Number Information
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NPI Number | 1528621919
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Entity Type | Individual
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Provider Name | ASHLEY CHARLTON BUSH APRN
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Gender | Female
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Dates
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Enumeration Date | 04/21/2019
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 312 S 4TH ST STE 700
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City | LOUISVILLE
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State | KY
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Zip | 40202-3046
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Country | US
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Telephone | 502-804-5495
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Fax | 833-563-1715
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Provider Business Mailing Address
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Address Line | 312 S 4TH ST STE 700
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City | LOUISVILLE
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State | KY
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Zip | 40202-3046
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Country | US
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Telephone | 502-804-5495
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Fax | 833-563-1715
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 33993
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 241245
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 205627
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License Number State | TN
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