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General NPI Number Information
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NPI Number | 1972342996
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Entity Type | Individual
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Provider Name | ASHLEY BARKER
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Gender | Female
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 1167 E HOPSON ST
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City | BAD AXE
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State | MI
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Zip | 48413-1555
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Country | US
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Telephone | 989-269-9983
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Fax |
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Provider Business Mailing Address
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Address Line | 850 JUHL RD
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City | SANDUSKY
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State | MI
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Zip | 48471-9733
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Country | US
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Telephone | 810-404-4615
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 5502008551
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License Number State | MI
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