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General NPI Number Information
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NPI Number | 1942607825
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Entity Type | Individual
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Provider Name | ASHLEY SIMONE LOVE PMHNP, RXN
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Gender | Female
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Dates
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Enumeration Date | 11/20/2014
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Last Update Date | 07/17/2020
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Provider Practice Location Address
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Address Line | 4801 RIVERBEND RD # 300
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City | BOULDER
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State | CO
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Zip | 80301-2613
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Country | US
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Telephone | 303-415-8629
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Fax |
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Provider Business Mailing Address
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Address Line | 66 CLUB RD STE 160
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City | EUGENE
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State | OR
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Zip | 97401-2439
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 991543
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ML3610121
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 201807763NP-PP
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1630389
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License Number State | CO
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