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General NPI Number Information
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NPI Number | 1720244411
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Entity Type | Individual
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Provider Name | ASHLEY NIX ALLEN MD
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Gender | Female
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Dates
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Enumeration Date | 08/01/2008
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Last Update Date | 08/24/2021
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Provider Practice Location Address
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Address Line | 5070 INTERNATIONAL BLVD SUITE 131
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City | NORTH CHARLESTON
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State | SC
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Zip | 29418-6006
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Country | US
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Telephone | 843-763-7906
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Fax | 843-740-9039
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Provider Business Mailing Address
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Address Line | 2000 PERIMETER PARK DR STE 200
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City | MORRISVILLE
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State | NC
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Zip | 27560-8442
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036122515
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2011-01916
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 36702
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License Number State | SC
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