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NPI Code Detail

MEDICARE: ASHTON ALLYSON DEAN

MEDICARE: ASHTON ALLYSON DEAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1699368191
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHTON ALLYSON DEAN
Provider Business Mailing Address
First Line : 750 N FREEDOM BLVD
Second Line :
City : PROVO
State : UT
Zip : 84601-1677
Country : US
Telephone Number : 801-373-9656
Fax Number :
Provider Business Practice Location Address
First Line : 750 N FREEDOM BLVD
Second Line :
City : PROVO
State : UT
Zip : 84601-1677
Country : US
Telephone Number : 801-373-9656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2021
Last Update Date : 02/11/2026

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Directions to “ ASHTON ALLYSON DEAN ” Practice Location

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