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Shane Ashbaugh

NPI Registration Record

Provider / OrganizationNPIDate Certified
SHANE ASHBAUGH18216354672020-07-24
Entity TypeIndividual
Provider Name Shane Ashbaugh
Practice Office Address38690 STIVERS ST STE A
FREMONT, CA US
Practice Office Telephone5102481040
Mailing Address38690 STIVERS ST STE A
FREMONT, CA 945365276 US
Business Telephone5102481040
Offices / Locations
AddressCity / StatePhone / Fax
2327 Armada Way San Mateo, CA 944041526 9195246167
HPT Codes
CodeLicense NoState
246ZC0007X
246ZX2200X
363AS0400X PRIMARY58356 CA
OPI Codes

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