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General NPI Number Information
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NPI Number | 1962941260
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Entity Type | Individual
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Provider Name | AMBER JOY QUIGLEY MS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 02/20/2017
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Last Update Date | 02/20/2017
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Provider Practice Location Address
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Address Line | 300 WILLOW CREEK ROAD
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City | ESCANABA
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State | MI
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Zip | 49829
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Country | US
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Telephone | 906-233-4141
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Fax |
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Provider Business Mailing Address
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Address Line | 6095 WHITNEY 19.8 BLVD
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City | GLADSTONE
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State | MI
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Zip | 49837-2446
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Country | US
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Telephone | 320-333-4822
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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 | 7101001691
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License Number State | MI
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