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General NPI Number Information
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NPI Number | 1215430673
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Entity Type | Individual
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Provider Name | ASHLEY MCCRAY
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Gender | Female
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Dates
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Enumeration Date | 03/13/2018
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Last Update Date | 03/11/2022
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Provider Practice Location Address
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Address Line | 2080 SUGARLOAF PKWY STE 210
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-9401
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Country | US
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Telephone | 215-485-3954
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Fax | 478-575-2359
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Provider Business Mailing Address
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Address Line | 2080 SUGARLOAF PKWY STE 210
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-9401
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Country | US
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Telephone | 215-485-3954
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Fax | 478-575-2359
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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 | SZ7952
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License Number State | FL
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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 | SLP010089
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License Number State | GA
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