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General NPI Number Information
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NPI Number | 1750066783
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Entity Type | Individual
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Provider Name | ASHLEY LYNN NELSON
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Gender | Female
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Dates
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Enumeration Date | 06/19/2023
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 2305 S TUCKER TER
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City | PITTSBURG
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State | KS
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Zip | 66762-6608
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Country | US
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Telephone | 620-231-3132
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Fax |
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Provider Business Mailing Address
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Address Line | 2305 S TUCKER TER
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City | PITTSBURG
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State | KS
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Zip | 66762-6608
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Country | US
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Telephone | 620-231-3132
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 53-84990-021
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 13-108731-021
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License Number State | KS
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