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General NPI Number Information
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NPI Number | 1598601668
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Entity Type | Individual
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Provider Name | ASHLEY LARRIS
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Gender | Female
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 501 NW 15TH AVE APT 3
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City | GAINESVILLE
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State | FL
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Zip | 32601-4273
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Country | US
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Telephone | 352-303-2504
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1423
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City | BUSHNELL
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State | FL
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Zip | 33513-0078
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number | DOULIO-CTAC-C326408
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License Number State | FL
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