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General NPI Number Information
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NPI Number | 1922593037
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Entity Type | Individual
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Provider Name | ASHLIE KAY IRISH NP
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Gender | Female
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Dates
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Enumeration Date | 06/30/2018
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Last Update Date | 08/21/2020
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Provider Practice Location Address
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Address Line | 1330 PRAIRIE AVE
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City | CHEYENNE
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State | WY
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Zip | 82009-4842
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Country | US
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Telephone | 307-778-8997
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2153 DEPT 40339
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City | BIRMINGHAM
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State | AL
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Zip | 35287-9387
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Country | US
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Telephone | 706-271-0100
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1764
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License Number State | WY
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