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General NPI Number Information
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NPI Number | 1922434125
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Entity Type | Individual
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Provider Name | ASHLEY E FRIEND
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Gender | Female
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Dates
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Enumeration Date | 09/19/2013
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Last Update Date | 10/03/2022
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Provider Practice Location Address
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Address Line | 500 S MAIN ST STE 113
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City | MOORESVILLE
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State | NC
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Zip | 28115-3228
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Country | US
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Telephone | 704-360-0235
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Fax |
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Provider Business Mailing Address
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Address Line | 8826 SHARONBROOK DR
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City | CHARLOTTE
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State | NC
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Zip | 28210-5672
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Country | US
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Telephone | 716-289-1541
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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 | 035683-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 009706
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 14479
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 14479
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License Number State | NC
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