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General NPI Number Information
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NPI Number | 1740714922
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Entity Type | Individual
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Provider Name | ASHLEY HARPER ATC
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Gender | Female
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Dates
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Enumeration Date | 04/14/2017
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Last Update Date | 04/14/2017
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Provider Practice Location Address
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Address Line | 101 HOLLAND HL
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City | HAMPTON
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State | VA
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Zip | 23668-0001
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Country | US
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Telephone | 757-727-5723
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Fax |
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Provider Business Mailing Address
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Address Line | 309 N SECOND ST APT A
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City | HAMPTON
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State | VA
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Zip | 23664-1408
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Country | US
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Telephone | 336-803-1597
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 0126002633
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License Number State | VA
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