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General NPI Number Information
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NPI Number | 1972944643
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Entity Type | Organization
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Legal Business Name | ASHBY GROUP, LLC
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Dates
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Enumeration Date | 07/10/2013
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Last Update Date | 08/06/2013
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Provider Practice Location Address
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Address Line | 17 US HIGHWAY 68 W
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City | BENTON
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State | KY
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Zip | 42025-7002
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Country | US
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Telephone | 270-205-4849
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 85
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City | UNIONTOWN
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State | KY
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Zip | 42461-0085
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Country | US
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Telephone | 270-205-4849
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Fax | 270-282-0005
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Authorized Official
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Title or Position | OWNER/DIRECTOR OF OPERATIONS
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Name | MS. BREA A BEAVEN
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Credential | LNHA
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Telephone | 270-205-4849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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