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General NPI Number Information
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NPI Number | 1558688861
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Entity Type | Individual
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Provider Name | ASHLEY RYLES NICHOLSON MD
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Gender | Female
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Dates
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Enumeration Date | 04/26/2010
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Last Update Date | 01/24/2018
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Provider Practice Location Address
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Address Line | 2120 L ST NW STE 450
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City | WASHINGTON
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State | DC
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Zip | 20037-1541
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Country | US
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Telephone | 202-741-2904
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Fax | 202-741-2921
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Provider Business Mailing Address
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Address Line | 2120 L ST NW STE 450
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City | WASHINGTON
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State | DC
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Zip | 20037-1541
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Country | US
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Telephone | 202-741-2904
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Fax | 202-741-2921
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A151091
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MT196762
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD041372
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License Number State | DC
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