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General NPI Number Information
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NPI Number | 1952735573
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Entity Type | Individual
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Provider Name | ASHLEY NICOLE MILLER MCD, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/30/2013
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Last Update Date | 08/30/2013
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Provider Practice Location Address
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Address Line | 3140 CAHABA HEIGHTS RD SUITE 102
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City | VESTAVIA
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State | AL
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Zip | 35243-5243
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Country | US
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Telephone | 205-969-8080
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Fax |
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Provider Business Mailing Address
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Address Line | 122 NORTH MALL
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City | TRUSSVILLE
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State | AL
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Zip | 35173-1120
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Country | US
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Telephone | 334-391-6597
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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 | 14040475
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License Number State | AL
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