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General NPI Number Information
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NPI Number | 1811522204
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Entity Type | Individual
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Provider Name | ASHLEY HUDSON CAA
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Gender | Female
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Dates
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Enumeration Date | 03/06/2020
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Last Update Date | 03/06/2020
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Provider Practice Location Address
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Address Line | 504 MEDICAL CENTER BLVD
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City | CONROE
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State | TX
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Zip | 77304-2808
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Country | US
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Telephone | 936-539-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 124 PLANTATION DR
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City | WALLER
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State | TX
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Zip | 77484-9594
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Country | US
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Telephone | 832-631-0250
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number |
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License Number State |
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