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General NPI Number Information
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NPI Number | 1750032165
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Entity Type | Individual
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Provider Name | ASHTON SALMON
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Gender | Female
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Dates
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Enumeration Date | 01/17/2022
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 916 GOBLIN DR
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City | HARRISON
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State | AR
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Zip | 72601-8885
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Country | US
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Telephone | 870-654-3869
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Fax |
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Provider Business Mailing Address
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Address Line | 7706 RALLY HILL RD
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City | HARRISON
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State | AR
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Zip | 72601-8801
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Country | US
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Telephone | 870-416-4376
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT2022-003
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License Number State | AR
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