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NPI 1356841217

NPI 1356841217 : MELANIE DAWN ASBURY M.S., CCC-SLP : ASHLAND, KY

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General NPI Number Information
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    NPI Number           |    1356841217
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    Entity Type          |    Individual 
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    Provider Name        |    MELANIE DAWN ASBURY M.S., CCC-SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/17/2018
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    Last Update Date     |    02/17/2018
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Provider Practice Location Address
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    Address Line         |    2801 ADAMS ST 
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    City                 |    ASHLAND
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    State                |    KY
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    Zip                  |    41102-6007
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    Country              |    US
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    Telephone            |    740-646-5101
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    378 DIEDERICH BLVD PMB 173
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    City                 |    ASHLAND
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    State                |    KY
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    Zip                  |    41101-7008
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    Country              |    US
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    Telephone            |    740-646-5101
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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       |    173842
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    License Number State |    KY
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