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General NPI Number Information
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NPI Number | 1528956471
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Entity Type | Individual
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Provider Name | ASHAUNTE STANDBERRY DC
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Gender |
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 7244 HALCYON PARK DR
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City | MONTGOMERY
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State | AL
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Zip | 36117-7717
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Country | US
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Telephone | 334-676-2290
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Fax |
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Provider Business Mailing Address
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Address Line | 249 E RIDING RD
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City | MONTGOMERY
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State | AL
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Zip | 36116-3743
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Country | US
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Telephone | 334-819-6184
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2898
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License Number State | AL
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