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General NPI Number Information
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NPI Number | 1255608477
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Entity Type | Individual
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Provider Name | ASHLEY DAVIS
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Gender | Female
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Dates
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Enumeration Date | 11/17/2011
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 1 SISKIN PLZ
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City | CHATTANOOGA
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State | TN
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Zip | 37403-1306
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Country | US
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Telephone | 423-634-1676
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Fax |
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Provider Business Mailing Address
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Address Line | 8680 TRADEWIND CIR APT. 307
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City | OOLTEWAH
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State | TN
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Zip | 37363-2948
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Country | US
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Telephone | 251-234-1217
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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 | 3217
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License Number State | AL
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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 | 3806
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License Number State | TN
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