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General NPI Number Information
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NPI Number | 1588465108
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Entity Type | Individual
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Provider Name | AUDREY LYNN CRANFORD MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 3001 S CREASY LN STE 100B
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City | LAFAYETTE
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State | IN
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Zip | 47905-5206
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Country | US
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Telephone | 765-423-6885
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Fax |
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Provider Business Mailing Address
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Address Line | 2410 HAPPY HOLLOW RD APT B4
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City | WEST LAFAYETTE
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State | IN
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Zip | 47906-1717
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Country | US
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Telephone | 901-308-3971
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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 | 14492457
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License Number State | IN
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