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General NPI Number Information
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NPI Number | 1811701329
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Entity Type | Individual
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Provider Name | MARY ASHLEY ROBERTS MS CCC SLP
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Gender | Female
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 14060 S WINTZELL AVE STE A
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City | BAYOU LA BATRE
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State | AL
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Zip | 36509-2466
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Country | US
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Telephone | 251-289-1845
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Fax |
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Provider Business Mailing Address
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Address Line | 9485 BEVERLY RD APT B
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City | IRVINGTON
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State | AL
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Zip | 36544-2741
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Country | US
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Telephone | 251-472-7073
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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 | 5535
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License Number State | AL
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