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General NPI Number Information
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NPI Number | 1669024196
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Entity Type | Individual
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Provider Name | ASHLEY ANDREJKO AU.D.
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Gender | Female
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Dates
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Enumeration Date | 07/15/2019
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Last Update Date | 07/15/2019
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Provider Practice Location Address
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Address Line | 1132 TWIN STACKS DR
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City | DALLAS
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State | PA
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Zip | 18612-8505
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Country | US
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Telephone | 570-675-8113
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Fax |
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Provider Business Mailing Address
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Address Line | 811 WARD ST
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City | JESSUP
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State | PA
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Zip | 18434-1633
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Country | US
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Telephone | 570-383-4874
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AT006634
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License Number State | PA
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