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NPI 1003453887

NPI 1003453887 : ADRIENNE KLYNE GORE AU.D : TELL CITY, IN

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General NPI Number Information
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    NPI Number           |    1003453887
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    Entity Type          |    Individual 
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    Provider Name        |    ADRIENNE KLYNE GORE AU.D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/29/2019
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    Last Update Date     |    12/11/2025
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Provider Practice Location Address
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    Address Line         |    1005 MAIN ST 
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    City                 |    TELL CITY
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    State                |    IN
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    Zip                  |    47586-2305
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    Country              |    US
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    Telephone            |    812-719-5658
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1005 MAIN ST 
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    City                 |    TELL CITY
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    State                |    IN
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    Zip                  |    47586-2305
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    Country              |    US
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    Telephone            |    812-772-1380
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    Fax                  |    812-619-9290
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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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