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General NPI Number Information
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NPI Number | 1821462045
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Entity Type | Individual
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Provider Name | ASHLEY KO NP
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Gender | Female
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Dates
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Enumeration Date | 11/27/2015
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 288 GROVELAND ST STE C3
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City | HAVERHILL
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State | MA
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Zip | 01830-6674
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Country | US
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Telephone | 978-206-1860
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Fax | 978-706-0006
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Provider Business Mailing Address
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Address Line | 288 GROVELAND ST STE C3
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City | HAVERHILL
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State | MA
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Zip | 01830-6674
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Country | US
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Telephone | 978-206-1860
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Fax | 978-706-0006
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN2291986
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | RN2291986
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License Number State | MA
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