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General NPI Number Information
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NPI Number | 1568655769
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Entity Type | Individual
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Provider Name | ASHLEY A.P. WYKLE M.S.ED, CCC/SLP
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Gender | Female
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 04/25/2018
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Provider Practice Location Address
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Address Line | 1413 LASKIN RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-6007
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Country | US
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Telephone | 757-403-2923
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Fax |
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Provider Business Mailing Address
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Address Line | 509 MOCKINGBIRD DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-5201
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Country | US
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Telephone | 757-403-2923
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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 | 2202005137
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License Number State | VA
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