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General NPI Number Information
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NPI Number | 1659050250
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Entity Type | Individual
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Provider Name | ASHLEY MEADE
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Gender | Female
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 16703 SE MCGILLIVRAY BLVD STE 170
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City | VANCOUVER
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State | WA
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Zip | 98683-4301
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Country | US
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Telephone | 360-989-7347
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Fax |
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Provider Business Mailing Address
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Address Line | 16703 SE MCGILLIVRAY BLVD STE 170
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City | VANCOUVER
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State | WA
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Zip | 98683-4301
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | LL61566860
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License Number State | WA
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