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General NPI Number Information
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NPI Number | 1780477950
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Entity Type | Organization
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Legal Business Name | PHYSIO WITH ASH LLC
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 30100 TOWN CENTER DR STE P
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-2064
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Country | US
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Telephone | 760-468-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 25605 PASEO LA VIS
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-4403
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Country | US
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Telephone | 760-468-5800
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ASHLEY C JONES
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Credential |
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Telephone | 760-468-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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