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General NPI Number Information
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NPI Number | 1538016720
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Entity Type | Individual
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Provider Name | MRS. ASHLEY ELLIOTT
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Gender | Female
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 3601 4TH ST
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City | LUBBOCK
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State | TX
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Zip | 79430-0002
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Country | US
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Telephone | 806-743-2981
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Fax |
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Provider Business Mailing Address
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Address Line | 512 N GENOA AVE
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City | LUBBOCK
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State | TX
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Zip | 79416-3331
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Country | US
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Telephone | 806-939-9024
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1036501
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License Number State | TX
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