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General NPI Number Information
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NPI Number | 1326207549
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Entity Type | Individual
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Provider Name | ASHLEY SUE MITCHELL AUD
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Gender | Female
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Dates
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Enumeration Date | 06/03/2008
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Last Update Date | 06/09/2017
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Provider Practice Location Address
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Address Line | 1835 US HIGHWAY 1 S STE 121
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City | ST AUGUSTINE
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State | FL
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Zip | 32084-4276
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Country | US
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Telephone | 904-824-6007
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Fax |
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Provider Business Mailing Address
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Address Line | 1835 US HWY 1 S 121
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City | ST. AUGUSTINE
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State | FL
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Zip | 32084
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Country | US
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Telephone | 904-824-6007
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AY2025
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License Number State | FL
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