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NPI 1306528492

NPI 1306528492 : ASHLEY N SHERMAN MS, CF-SLP : NEW BUFFALO, MI

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General NPI Number Information
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    NPI Number           |    1306528492
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    Entity Type          |    Individual 
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    Provider Name        |    ASHLEY N SHERMAN MS, CF-SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/07/2023
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    Last Update Date     |    01/02/2025
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Provider Practice Location Address
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    Address Line         |    18853 US HIGHWAY 12 STE 3 
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    City                 |    NEW BUFFALO
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    State                |    MI
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    Zip                  |    49117-8100
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    Country              |    US
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    Telephone            |    269-235-9821
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    Fax                  |    269-359-3735
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Provider Business Mailing Address
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    Address Line         |    1509 STATE ST 
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    City                 |    LA PORTE
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    State                |    IN
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    Zip                  |    46350-3115
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    14478169
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    License Number State |    IN
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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       |    7101009244
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    License Number State |    MI
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