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General NPI Number Information
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NPI Number | 1013178185
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Entity Type | Individual
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Provider Name | SUSAN KAY DEAHL M.C.D.
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Gender | Female
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Dates
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Enumeration Date | 06/21/2008
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Last Update Date | 06/21/2008
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Provider Practice Location Address
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Address Line | 7777 FOREST LN BUILDING C SUITE 100
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City | DALLAS
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State | TX
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Zip | 75230-2505
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Country | US
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Telephone | 972-566-4848
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Fax |
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Provider Business Mailing Address
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Address Line | 6735 E MOCKINGBIRD LN
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City | DALLAS
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State | TX
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Zip | 75214-2506
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Country | US
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Telephone | 214-827-4849
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 50393
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License Number State | TX
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