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General NPI Number Information
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NPI Number | 1861076424
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Entity Type | Individual
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Provider Name | ASHLEY RYAN
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Gender | Female
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Dates
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Enumeration Date | 05/10/2021
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Last Update Date | 05/10/2021
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Provider Practice Location Address
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Address Line | 5270 BALBOA AVE
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City | SAN DIEGO
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State | CA
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Zip | 92117-6902
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Country | US
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Telephone | 858-292-9349
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Fax | 858-292-7822
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Provider Business Mailing Address
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Address Line | 1766 GREENFIELD CT
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City | EL CAJON
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State | CA
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Zip | 92021-3738
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Country | US
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Telephone | 619-609-1536
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 179248
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License Number State | CA
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