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General NPI Number Information
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NPI Number | 1326445479
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Entity Type | Individual
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Provider Name | ASHLEY LYNN ROBINSON M.S.
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Gender | Female
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Dates
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Enumeration Date | 12/04/2014
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Last Update Date | 12/04/2014
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Provider Practice Location Address
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Address Line | 415 N MAIN ST
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City | HOLLIS
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State | OK
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Zip | 73550-3041
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Country | US
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Telephone | 580-688-3616
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Fax |
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Provider Business Mailing Address
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Address Line | 17755 E 1630 RD
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City | GOULD
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State | OK
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Zip | 73544-5435
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Country | US
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Telephone | 580-512-2550
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Fax | 580-688-2147
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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 | 2615
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License Number State | OK
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