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General NPI Number Information
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NPI Number | 1780654764
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Entity Type | Organization
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Legal Business Name | DEBORAH ASHWORTH PA
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 1036 HIGHWAY 64 E
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City | ALMA
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State | AR
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Zip | 72921-6807
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Country | US
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Telephone | 479-651-3389
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Fax | 479-474-4044
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Provider Business Mailing Address
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Address Line | 4505 N RUDY RD
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City | VAN BUREN
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State | AR
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Zip | 72956-9062
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Country | US
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Telephone | 479-651-3389
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Fax | 479-397-4870
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Authorized Official
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Title or Position | OWNER
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Name | DEBORAH LYNN ASHWORTH
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Credential | PT
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Telephone | 479-651-3389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 806
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License Number State | AR
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