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NPI 1548230782

NPI 1548230782 : SCOTT J ASHBY M.D. : LEMOORE, CA

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General NPI Number Information
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    NPI Number           |    1548230782
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    Entity Type          |    Individual 
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    Provider Name        |    SCOTT J ASHBY M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/23/2006
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    Last Update Date     |    06/15/2023
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Provider Practice Location Address
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    Address Line         |    937 FRANKLIN BLVD 
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    City                 |    LEMOORE
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    State                |    CA
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    Zip                  |    93246-4700
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    Country              |    US
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    Telephone            |    559-998-4487
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    661 AVALON DR 
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    City                 |    LEMOORE
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    State                |    CA
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    Zip                  |    93245-4381
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    Country              |    US
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    Telephone            |    559-469-5650
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    38503
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    License Number State |    WI
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