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General NPI Number Information
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NPI Number | 1902386246
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Entity Type | Individual
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Provider Name | CLAIRE NOELLE ASHBY PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/16/2018
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Last Update Date | 03/02/2020
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Provider Practice Location Address
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Address Line | 2241 PEGGY LN STE C
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City | GARLAND
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State | TX
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Zip | 75042-5709
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Country | US
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Telephone | 972-272-9643
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Fax |
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Provider Business Mailing Address
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Address Line | 6060 VILLAGE BEND DR APT 316
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City | DALLAS
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State | TX
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Zip | 75206-3737
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Country | US
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Telephone | 903-277-7502
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1301480
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License Number State | TX
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