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General NPI Number Information
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NPI Number | 1013460666
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Entity Type | Individual
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Provider Name | MRS. SHERI LONGEUAY
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Gender | Female
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Dates
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Enumeration Date | 08/01/2016
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Last Update Date | 08/01/2016
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Provider Practice Location Address
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Address Line | 3855 E LA PALMA AVE SUITE 116
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City | ANAHEIM
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State | CA
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Zip | 92807-1729
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Country | US
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Telephone | 714-630-7800
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Fax | 714-630-7803
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Provider Business Mailing Address
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Address Line | 3855 E LA PALMA AVE SUITE 116
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City | ANAHEIM
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State | CA
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Zip | 92807-1729
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Country | US
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Telephone | 714-630-7800
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Fax | 714-630-7803
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA8073
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License Number State | CA
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