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General NPI Number Information
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NPI Number | 1982445672
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Entity Type | Individual
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Provider Name | ASHLEY ALPHONSUS
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Gender | Female
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 1000 ROUTE 35 STE 200
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-2609
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Country | US
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Telephone | 973-571-2121
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Fax | 732-856-9373
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Provider Business Mailing Address
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Address Line | 33 E 33RD ST FL 12
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City | NEW YORK
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State | NY
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Zip | 10016-5362
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Country | US
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Telephone | 844-337-6362
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Fax | 646-665-3604
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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