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General NPI Number Information
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NPI Number | 1043459704
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Entity Type | Individual
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Provider Name | JACQUELYN A NORRIS
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Gender | Female
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Dates
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Enumeration Date | 02/19/2009
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Last Update Date | 02/19/2009
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Provider Practice Location Address
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Address Line | 35895 US HIGHWAY 19 N
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City | PALM HARBOR
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State | FL
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Zip | 34684-1556
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Country | US
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Telephone | 727-785-3411
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Fax | 727-789-8875
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Provider Business Mailing Address
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Address Line | 5000 CHESHIRE PKWY N
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City | PLYMOUTH
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State | MN
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Zip | 55446-4103
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Country | US
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Telephone | 888-333-9152
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Fax | 763-268-4240
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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 | AY958
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License Number State | FL
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