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General NPI Number Information
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NPI Number | 1700833688
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Entity Type | Individual
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Provider Name | ASHLEY E O'SHIELDS MD
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Gender | Female
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 5905 ATLANTA HWY STE 101-1230
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City | ALPHARETTA
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State | GA
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Zip | 30004-5768
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Country | US
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Telephone | 706-429-8856
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Fax | 678-384-5676
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Provider Business Mailing Address
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Address Line | 5905 ATLANTA HWY STE 101-1230
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City | ALPHARETTA
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State | GA
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Zip | 30004-5768
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Country | US
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Telephone | 706-429-8856
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Fax | 678-384-5676
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 053508
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License Number State | GA
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