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NPI 1053566091

NPI 1053566091 : SANDRA ASHLEY SPUHLER MS, CCC-SLP : WAYNE, PA

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General NPI Number Information
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    NPI Number           |    1053566091
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    Entity Type          |    Individual 
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    Provider Name        |    SANDRA ASHLEY SPUHLER MS, CCC-SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/18/2008
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    Last Update Date     |    01/21/2020
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Provider Practice Location Address
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    Address Line         |    489 DEVON PARK DR STE 301 
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    City                 |    WAYNE
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    State                |    PA
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    Zip                  |    19087-1809
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    Country              |    US
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    Telephone            |    484-367-7131
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    390 BROOK DR 
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    City                 |    SPRING CITY
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    State                |    PA
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    Zip                  |    19475-2501
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    Country              |    US
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    Telephone            |    609-238-4667
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    SL011313
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    01828-5
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    License Number State |    NY
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