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General NPI Number Information
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NPI Number | 1750547691
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Entity Type | Organization
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Legal Business Name | EDWIN M. ASHLEY INC.
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 1127 WILSHIRE BLVD STE 1514
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City | LOS ANGELES
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State | CA
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Zip | 90017-4006
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Country | US
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Telephone | 213-742-9704
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Fax |
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Provider Business Mailing Address
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Address Line | 1127 WILSHIRE BLVD STE 1514
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City | LOS ANGELES
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State | CA
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Zip | 90017-4006
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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 | PRESIDENT
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Name | EDWIN ASHLEY
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Credential | M.D.
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Telephone | 213-742-9704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G60846
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License Number State | CA
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