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General NPI Number Information
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NPI Number | 1679457188
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Entity Type | Individual
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Provider Name | ASHLYN ELIZABETH COFFMAN
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Gender | Female
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 2232 N CLYBOURN AVE
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City | CHICAGO
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State | IL
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Zip | 60614-3193
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Country | US
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Telephone | 773-377-5492
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Fax |
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Provider Business Mailing Address
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Address Line | 13708 BARRINGTON CT
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City | DUBUQUE
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State | IA
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Zip | 52003-9703
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Country | US
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Telephone | 563-580-4749
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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 | 242.008490
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License Number State | IL
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