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General NPI Number Information
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NPI Number | 1992336333
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Entity Type | Individual
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Provider Name | ASHLEY AUTUMN PEASE CNP
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Gender | Female
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Dates
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Enumeration Date | 02/03/2020
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 161 SE BARRINGTON DR
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City | OAK HARBOR
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State | WA
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Zip | 98277-3261
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Country | US
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Telephone | 559-380-9956
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Fax |
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Provider Business Mailing Address
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Address Line | 7780 GUENIVERE WAY
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City | CITRUS HEIGHTS
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State | CA
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Zip | 95610-6763
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Country | US
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Telephone | 559-380-9956
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 862423
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95024490
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP61002883
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License Number State | WA
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