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General NPI Number Information
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NPI Number | 1770145179
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Entity Type | Individual
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Provider Name | ASHLEY JORDAN ARGRAVE
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Gender | Female
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Dates
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Enumeration Date | 07/05/2019
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Last Update Date | 07/05/2019
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Provider Practice Location Address
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Address Line | 8211 GOODWOOD BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70806-7740
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Country | US
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Telephone | 225-300-4574
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Fax |
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Provider Business Mailing Address
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Address Line | 115 ROUTE 46 STE G51
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City | MOUNTAIN LAKES
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State | NJ
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Zip | 07046-1676
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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