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NPI 1629430533

NPI 1629430533 : ASHLY WESTFIELD WHITE : WASHINGTON, DC

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General NPI Number Information
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    NPI Number           |    1629430533
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    Entity Type          |    Individual 
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    Provider Name        |    ASHLY WESTFIELD WHITE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/22/2016
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    Last Update Date     |    12/10/2024
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Provider Practice Location Address
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    Address Line         |    300 M ST SE UNIT 104 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20003-3400
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    Country              |    US
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    Telephone            |    202-221-8250
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5545 
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    City                 |    AUGUSTA
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    State                |    GA
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    Zip                  |    30916-5545
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    Country              |    US
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    Telephone            |    706-798-9323
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    Fax                  |    706-772-8873
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    CP026346T
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    License Number State |    DC
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT020002.MIL
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    License Number State |    OH
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