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General NPI Number Information
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NPI Number | 1801567607
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Entity Type | Individual
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Provider Name | ASHLEY STULL
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Gender | Female
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Dates
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Enumeration Date | 09/22/2021
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 810 S BROOM ST
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City | WILMINGTON
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State | DE
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Zip | 19805-4245
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Country | US
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Telephone | 302-652-1181
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Fax |
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Provider Business Mailing Address
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Address Line | 27 E PERIWINKLE LN
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City | NEWARK
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State | DE
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Zip | 19711-6216
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Country | US
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Telephone | 302-824-2966
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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 |
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License Number State |
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