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General NPI Number Information
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NPI Number | 1568184760
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Entity Type | Individual
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Provider Name | ASHLEY BALDWIN
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Gender | Female
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Dates
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Enumeration Date | 09/14/2022
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 1612 N MAIN ST STE D
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City | SHELBYVILLE
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State | TN
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Zip | 37160-2392
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Country | US
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Telephone | 931-909-0050
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Fax |
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Provider Business Mailing Address
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Address Line | 787 DUNK BLANTON RD
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City | TULLAHOMA
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State | TN
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Zip | 37388-5925
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 19-108535
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-23-69563
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License Number State | TN
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