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NPI 1043048879

NPI 1043048879 : JENNIFER CLAIRE ARNOULT AUD, CCC-A : HAMMOND, LA

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General NPI Number Information
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    NPI Number           |    1043048879
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER CLAIRE ARNOULT AUD, CCC-A
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/23/2024
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    Last Update Date     |    10/11/2024
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Provider Practice Location Address
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    Address Line         |    15813 PAUL VEGA MD DR STE 301 
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    City                 |    HAMMOND
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    State                |    LA
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    Zip                  |    70403-1431
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    Country              |    US
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    Telephone            |    985-230-2630
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    Fax                  |    985-230-2634
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2668 BUSINESS CTR - INS CREDENTIALING
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    City                 |    HAMMOND
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    State                |    LA
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    Zip                  |    70404-2668
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    Country              |    US
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    Telephone            |    985-230-1682
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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       |    9691
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    License Number State |    LA
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