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General NPI Number Information
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NPI Number | 1720065576
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Entity Type | Individual
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Provider Name | JEANNE L ASHWORTH MD
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Gender | Female
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 1150 CRESCENT HEIGHTS RD
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City | MARION
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State | OH
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Zip | 43302-6406
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Country | US
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Telephone | 740-387-6722
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Fax | 740-387-2275
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Provider Business Mailing Address
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Address Line | 5450 FRANTZ RD STE 360
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City | DUBLIN
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State | OH
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Zip | 43016-4141
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Country | US
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Telephone |
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 35076695
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License Number State | OH
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