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General NPI Number Information
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NPI Number | 1558782565
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Entity Type | Individual
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Provider Name | JENNIFER LOU ASHBRIDGE CNM
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Gender | Female
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Dates
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Enumeration Date | 12/17/2013
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 4300 LONDONDERRY RD STE 202
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City | HARRISBURG
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State | PA
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Zip | 17109-5317
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Country | US
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Telephone | 717-545-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 4300 LONDONDERRY RD STE 202
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City | HARRISBURG
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State | PA
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Zip | 17109-5317
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Country | US
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Telephone |
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | SP021066
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | MW010330
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License Number State | PA
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