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General NPI Number Information
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NPI Number | 1891286209
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Entity Type | Individual
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Provider Name | ASHLEY MICHELLE MCINTOSH FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/21/2018
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 314 SE HOSPITAL AVE
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City | STUART
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State | FL
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Zip | 34994-2338
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Country | US
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Telephone | 772-223-5903
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Fax | 772-223-5914
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Provider Business Mailing Address
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Address Line | 4907 MIDTOWN LN APT 1412
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-3416
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Country | US
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Telephone | 603-854-0779
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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 | APRN9363017
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN9363017
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License Number State | FL
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