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General NPI Number Information
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NPI Number | 1881054229
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Entity Type | Individual
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Provider Name | ASHLEY KENDRA NEWMAN FNP
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Gender | Female
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Dates
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Enumeration Date | 02/27/2016
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Last Update Date | 02/18/2020
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Provider Practice Location Address
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Address Line | 550 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10016-6402
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Country | US
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Telephone | 646-599-2257
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Fax |
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Provider Business Mailing Address
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Address Line | 7 BINA PL
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City | FORDS
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State | NJ
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Zip | 08863-1537
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Country | US
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Telephone | 732-500-8553
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 340054
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License Number State | NY
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