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General NPI Number Information
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NPI Number | 1568388692
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Entity Type | Individual
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Provider Name | ASHLEY BLAIR
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Gender | Female
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 2160 BLACKLOG RD
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City | INEZ
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State | KY
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Zip | 41224-9019
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Country | US
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Telephone | 606-298-7405
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Fax |
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Provider Business Mailing Address
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Address Line | 687 BLACKBERRY RD
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City | DEBORD
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State | KY
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Zip | 41214-9015
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Country | US
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Telephone | 606-369-7098
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4059573
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License Number State | KY
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