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General NPI Number Information
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NPI Number | 1700718558
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Entity Type | Individual
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Provider Name | ASHLEY MORGAN HEIMBOUCH
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Gender | Female
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 3011 AVENUE B
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City | SCOTTSBLUFF
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State | NE
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Zip | 69361-4320
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Country | US
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Telephone | 308-632-2215
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Fax |
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Provider Business Mailing Address
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Address Line | 3911 AVENUE B STE 1100
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City | SCOTTSBLUFF
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State | NE
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Zip | 69361-4617
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Country | US
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Telephone | 308-630-2100
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 116926
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License Number State | NE
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