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General NPI Number Information
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NPI Number | 1942820410
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Entity Type | Individual
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Provider Name | ASHLEY BROOKE WICKER MD
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Gender | Female
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Dates
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Enumeration Date | 04/24/2020
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 800 ROSE ST
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City | LEXINGTON
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State | KY
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Zip | 40536-4220
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Country | US
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Telephone | 859-323-5956
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Fax | 859-323-1080
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Provider Business Mailing Address
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Address Line | 101 MANNING DRIVE
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City | CHAPEL HILL
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State | NC
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Zip | 27599-1772
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Country | US
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Telephone | 919-966-5136
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 59442
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | 59442
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License Number State | KY
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