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General NPI Number Information
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NPI Number | 1245547413
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Entity Type | Individual
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Provider Name | ASHLEY PATE HUDSON MA
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Gender | Female
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Dates
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Enumeration Date | 09/08/2010
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Last Update Date | 07/26/2011
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Provider Practice Location Address
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Address Line | 221 STALLSVILLE RD
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City | SUMMERVILLE
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State | SC
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Zip | 29485-4934
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Country | US
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Telephone | 843-832-1795
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Fax |
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Provider Business Mailing Address
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Address Line | 1418 WHISPERING OAKS TRL
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City | MT PLEASANT
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State | SC
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Zip | 29466-8584
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Country | US
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Telephone | 704-689-6441
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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 | SLP.4744SLP
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License Number State | SC
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