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General NPI Number Information
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NPI Number | 1972225126
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Entity Type | Individual
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Provider Name | ASHLEY STANSBURY PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/14/2022
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 14055 RIVEREDGE DR STE 250
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City | TAMPA
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State | FL
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Zip | 33637-2141
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Country | US
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Telephone | 813-929-5451
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Fax | 813-929-5465
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Provider Business Mailing Address
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Address Line | 14055 RIVEREDGE DR STE 250
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City | TAMPA
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State | FL
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Zip | 33637-2141
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Country | US
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Telephone | 813-929-5451
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Fax | 813-929-5465
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 390200000X
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9117017
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License Number State | FL
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