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General NPI Number Information
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NPI Number | 1932446408
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Entity Type | Individual
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Provider Name | ASHLEY ALLEN R.D.
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Gender | Female
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Dates
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Enumeration Date | 01/03/2013
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Last Update Date | 01/03/2013
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Provider Practice Location Address
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Address Line | 83 W COLUMBIA ST # MP373
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City | ORLANDO
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State | FL
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Zip | 32806-1101
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Country | US
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Telephone | 321-841-3338
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Fax | 321-841-2170
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Provider Business Mailing Address
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Address Line | 83 W COLUMBIA ST # MP373
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City | ORLANDO
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State | FL
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Zip | 32806-1101
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Country | US
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Telephone | 321-841-3338
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Fax | 321-841-2170
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND 4801
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License Number State | FL
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