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General NPI Number Information
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NPI Number | 1619403961
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Entity Type | Individual
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Provider Name | ASHLEY HEDGE D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/05/2017
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 1500 S MAIN ST
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City | FORT WORTH
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State | TX
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Zip | 76104-4917
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Country | US
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Telephone | 817-702-1173
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Fax |
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Provider Business Mailing Address
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Address Line | 715 S 3RD ST
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City | MONTROSE
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State | CO
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Zip | 81401-4209
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Country | US
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Telephone | 970-249-6737
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Fax | 970-252-0112
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | R8305
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | DR.0067467
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License Number State | CO
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