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General NPI Number Information
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NPI Number | 1205434206
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Entity Type | Individual
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Provider Name | AMBRIELLE GRACE BEGAY SLPA
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Gender | Female
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Dates
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Enumeration Date | 10/12/2020
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 17100 E SHEA BLVD STE 600
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-6663
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Country | US
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Telephone | 928-640-7313
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 2875
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City | TUBA CITY
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State | AZ
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Zip | 86045
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Country | US
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Telephone |
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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 | SLPA12687
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License Number State | AZ
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