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General NPI Number Information
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NPI Number | 1184553414
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Entity Type | Individual
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Provider Name | ASHLEY STURDEFANT
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Gender | Female
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 1310 BRADLEY DR
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-2730
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Country | US
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Telephone | 870-424-4021
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Fax | 870-424-4112
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Provider Business Mailing Address
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Address Line | 548 HIGHWAY 62 E APT 101
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-3261
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Country | US
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Telephone | 870-405-5298
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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