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General NPI Number Information
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NPI Number | 1649504960
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Entity Type | Organization
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Legal Business Name | ASH GROUP LLC
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Dates
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Enumeration Date | 09/21/2009
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Last Update Date | 07/19/2011
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Provider Practice Location Address
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Address Line | 3509 BREWSTER DR
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City | PLANO
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State | TX
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Zip | 75025-4445
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Country | US
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Telephone | 972-712-5465
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Fax | 866-397-4767
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Provider Business Mailing Address
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Address Line | 3509 BREWSTER DR
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City | PLANO
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State | TX
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Zip | 75025-4445
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Country | US
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Telephone | 972-712-5465
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Fax | 866-397-4767
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. KAREN ASH
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Credential | LSA
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Telephone | 972-712-5465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | SA00396
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License Number State | TX
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