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General NPI Number Information
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NPI Number | 1588262059
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Entity Type | Individual
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Provider Name | ASHLEE SHAE NICHOLS FNP
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Gender | Female
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Dates
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Enumeration Date | 10/15/2020
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 2301 LEXINGTON AVE STE 125
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City | ASHLAND
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State | KY
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Zip | 41101-2800
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Country | US
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Telephone | 606-408-7800
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Fax | 606-408-6800
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Provider Business Mailing Address
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Address Line | PO BOX 1595
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City | ASHLAND
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State | KY
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Zip | 41105-1595
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Country | US
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Telephone | 606-408-6200
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Fax | 606-408-6212
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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 | 3015320
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0031135
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License Number State | OH
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