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General NPI Number Information
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NPI Number | 1811916612
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Entity Type | Individual
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Provider Name | ASHLEY Y GREENE PA-C
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 9125 CROSS PARK DR STE 200
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City | KNOXVILLE
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State | TN
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Zip | 37923-4563
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Country | US
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Telephone | 865-632-5900
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Fax | 865-374-2129
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Provider Business Mailing Address
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Address Line | 9125 CROSS PARK DR STE 200
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City | KNOXVILLE
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State | TN
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Zip | 37923-4563
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Country | US
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Telephone | 865-632-5900
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Fax | 865-374-2129
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 21961-875
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5688
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA-1113
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 10000417A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 6031
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License Number State | TN
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