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General NPI Number Information
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NPI Number | 1760351308
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Entity Type | Individual
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Provider Name | ASHLEY MULLINS
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Gender | Female
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 3499 BLAZER PKWY STE 330
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City | LEXINGTON
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State | KY
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Zip | 40509-2828
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Country | US
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Telephone | 859-496-0667
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Fax |
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Provider Business Mailing Address
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Address Line | 123 BILL PERKINS LN
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City | GEORGETOWN
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State | KY
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Zip | 40324-8590
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Country | US
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Telephone | 859-496-0667
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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 | 244708
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License Number State | KY
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