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General NPI Number Information
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NPI Number | 1750905691
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Entity Type | Individual
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Provider Name | ASHLEY ANNE FELLOWS FNP
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Gender | Female
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Dates
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Enumeration Date | 06/06/2020
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 809 WESTMERE AVE STE A
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City | CHARLOTTE
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State | NC
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Zip | 28208-5343
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Country | US
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Telephone | 833-625-3392
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Fax |
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Provider Business Mailing Address
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Address Line | 3409 HOLLYHOCK WAY
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City | TAMPA
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State | FL
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Zip | 33618-2154
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11013848
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License Number State | FL
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