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General NPI Number Information
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NPI Number | 1659742088
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Entity Type | Individual
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Provider Name | ASHLEY ROJAN PT, DPT, ATC/L
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Gender | Female
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Dates
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Enumeration Date | 10/12/2015
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 5120 DIXIE HWY STE 103
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City | LOUISVILLE
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State | KY
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Zip | 40216-1775
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Country | US
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Telephone | 502-587-1236
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Fax |
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Provider Business Mailing Address
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Address Line | 13151 MAGISTERIAL DR STE 200
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City | LOUISVILLE
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State | KY
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Zip | 40223-4103
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Country | US
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Telephone | 502-587-1236
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Fax | 714-939-6500
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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 | 292254
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | A160366943
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License Number State | WA
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