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General NPI Number Information
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NPI Number | 1326472929
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Entity Type | Individual
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Provider Name | ASHLYN ELIZABETH PHILLIPS
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Gender | Female
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Dates
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Enumeration Date | 08/30/2013
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Last Update Date | 06/28/2018
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Provider Practice Location Address
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Address Line | 3924 NEELY RD
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City | LITTLE ROCK
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State | AR
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Zip | 72206
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Country | US
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Telephone | 501-233-4244
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Fax |
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Provider Business Mailing Address
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Address Line | 1508 MILLIGAN DR
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City | MAUMELLE
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State | AR
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Zip | 72113-7633
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Country | US
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Telephone | 870-692-6023
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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 | SP#P8712
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License Number State | AR
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