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General NPI Number Information
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NPI Number | 1831475714
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Entity Type | Individual
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Provider Name | ASHLEY YOUNGER N.P.
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Gender | Female
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Dates
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Enumeration Date | 10/24/2011
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Last Update Date | 10/24/2011
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Provider Practice Location Address
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Address Line | 201 HERA VILLE 6574 HANNAMDONG
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City | YONGSANGU
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State | SEOUL
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Zip | 140887
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Country | KR
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Telephone | 01051030255
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Fax |
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Provider Business Mailing Address
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Address Line | 201 HERA VILLE 6574 HANNAMDONG
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City | YONGSANGU
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State | SEOUL
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Zip | 140887
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Country | KR
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Telephone |
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RN284350
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License Number State | MA
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