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General NPI Number Information
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NPI Number | 1942750872
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Entity Type | Individual
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Provider Name | ASHLEY KNIGHT
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Gender | Female
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Dates
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Enumeration Date | 10/04/2016
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Last Update Date | 06/21/2021
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Provider Practice Location Address
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Address Line | 4040 WHEATON WAY
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City | BREMERTON
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State | WA
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Zip | 98310-3565
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Country | US
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Telephone | 360-731-4857
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 484
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City | SILVERDALE
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State | WA
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Zip | 98383-0484
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | CG60699742
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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