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General NPI Number Information
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NPI Number | 1043509359
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Entity Type | Individual
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Provider Name | KATIE S ESAU AU.D
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Gender | Female
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 12/11/2014
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Provider Practice Location Address
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Address Line | 2424 ROSWELL RD SUITE 6
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City | MARIETTA
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State | GA
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Zip | 30062-4759
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Country | US
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Telephone | 678-560-0011
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Fax | 678-560-7009
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Provider Business Mailing Address
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Address Line | 2424 ROSWELL RD SUITE 6
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City | MARIETTA
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State | GA
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Zip | 30062-4759
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Country | US
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Telephone | 678-560-0011
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Fax | 678-560-7009
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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 | AUD003951
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License Number State | GA
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