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General NPI Number Information
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NPI Number | 1073160354
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Entity Type | Individual
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Provider Name | ASHLEY M PAGAN SLP
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Gender | Female
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Dates
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Enumeration Date | 08/21/2019
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Last Update Date | 08/21/2019
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Provider Practice Location Address
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Address Line | 3201 BUDINGER AVE
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City | SAINT CLOUD
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State | FL
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Zip | 34769-7203
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Country | US
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Telephone | 407-910-2941
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Fax |
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Provider Business Mailing Address
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Address Line | 8755 CATBRIAR BAY WAY
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City | ORLANDO
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State | FL
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Zip | 32829-8742
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Country | US
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Telephone | 787-637-8256
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SI3967
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License Number State | FL
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