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General NPI Number Information
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NPI Number | 1902710387
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Entity Type | Individual
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Provider Name | ASHLEY EVANS
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Gender | Female
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 6465 CURTISS CT
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City | MENTOR
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State | OH
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Zip | 44060-2473
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Country | US
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Telephone | 440-255-7223
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Fax |
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Provider Business Mailing Address
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Address Line | 204 CEDARBROOK DR
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City | PAINESVILLE
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State | OH
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Zip | 44077-2859
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Country | US
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA007481
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License Number State | OH
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