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General NPI Number Information
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NPI Number | 1639770340
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Entity Type | Individual
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Provider Name | ASHLEY MAE FLECK FNP-BC, PMHNP- BC
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Gender | Female
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Dates
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Enumeration Date | 11/08/2020
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 3040 N WICKHAM RD STE 3
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City | MELBOURNE
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State | FL
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Zip | 32935-2369
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Country | US
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Telephone | 321-425-2424
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Fax | 321-256-5000
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Provider Business Mailing Address
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Address Line | PO BOX 120161
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City | MELBOURNE
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State | FL
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Zip | 32912-0161
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Country | US
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Telephone | 321-425-2424
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Fax | 321-256-5000
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11007648
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11007648
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11007648
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License Number State | FL
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