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General NPI Number Information
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NPI Number | 1578371662
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Entity Type | Individual
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Provider Name | ASHLEY OBERG CRNA
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Gender | Female
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Dates
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Enumeration Date | 12/21/2024
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 601 DR MARTIN LUTHER KING JR AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-3619
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Country | US
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Telephone | 505-727-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 6800 OAKMONT CT
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City | NEWBURGH
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State | IN
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Zip | 47630-1734
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Country | US
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Telephone | 505-328-5322
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28281277A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 82659
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License Number State | NM
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