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General NPI Number Information
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NPI Number | 1972121879
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Entity Type | Individual
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Provider Name | ASHLEY ALEXANDER MD
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Gender | Female
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Dates
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Enumeration Date | 07/08/2020
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 2100 DORCHESTER AVE
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City | DORCHESTER
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State | MA
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Zip | 02124-5615
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Country | US
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Telephone | 305-905-9956
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Fax |
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Provider Business Mailing Address
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Address Line | 45 STUART ST APT 615
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City | BOSTON
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State | MA
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Zip | 02116-4743
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Country | US
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Telephone | 305-905-9956
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 335016
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 284760
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License Number State | MA
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