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General NPI Number Information
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NPI Number | 1649401571
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Entity Type | Individual
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Provider Name | ASHLEY CATHLEEN ALLISON PTA
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Gender | Female
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Dates
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Enumeration Date | 07/27/2009
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Last Update Date | 07/27/2009
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Provider Practice Location Address
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Address Line | 1615 CLEVELAND RD
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City | WOOSTER
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State | OH
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Zip | 44691-2335
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Country | US
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Telephone | 330-601-0980
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Fax | 330-601-0970
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Provider Business Mailing Address
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Address Line | 1511 S KOHLER RD
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City | ORRVILLE
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State | OH
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Zip | 44667-9688
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Country | US
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Telephone | 330-317-9180
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 06508
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License Number State | OH
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