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General NPI Number Information
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NPI Number | 1538686118
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Entity Type | Organization
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Legal Business Name | ASHFORD CONSOLIDATED, INC
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Dates
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Enumeration Date | 08/24/2017
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Last Update Date | 06/30/2021
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Provider Practice Location Address
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Address Line | 428 N. DONNELLY STREET SUITE 5
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City | MOUNT DORA
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State | FL
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Zip | 32757-5550
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Country | US
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Telephone | 586-291-2279
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Fax | 352-577-0399
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Provider Business Mailing Address
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Address Line | 2586 WOODSIDE RIDGE DR
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City | APOPKA
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State | FL
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Zip | 32712-6481
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Country | US
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Telephone | 586-291-2279
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Fax | 352-577-0399
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DURRAND ASHFORD
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Credential |
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Telephone | 586-291-2279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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