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General NPI Number Information
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NPI Number | 1639724255
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Entity Type | Individual
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Provider Name | ASHTON MCKINNEY CNP
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Gender | Female
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Dates
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Enumeration Date | 08/09/2019
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 607 S MAIN ST UNIT E
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City | KING
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State | NC
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Zip | 27021-9016
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Country | US
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Telephone | 336-983-9111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 26666 PROVIDER ENROLLMENT
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City | ALBUQUERQUE
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State | NM
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Zip | 87125-6666
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Country | US
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Telephone | 505-923-6770
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Fax | 505-923-5354
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5016680
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License Number State | NC
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