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General NPI Number Information
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NPI Number | 1942963285
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Entity Type | Individual
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Provider Name | ASHLEY J BALADHAY PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 10/13/2021
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Last Update Date | 10/13/2021
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Provider Practice Location Address
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Address Line | 9307 N LAMAR BLVD
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City | AUSTIN
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State | TX
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Zip | 78753-4103
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Country | US
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Telephone | 512-339-6262
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Fax |
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Provider Business Mailing Address
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Address Line | 828 BEBEE RD APT 138
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City | KYLE
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State | TX
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Zip | 78640-2035
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Country | US
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Telephone | 210-854-2767
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 69193
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License Number State | TX
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