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General NPI Number Information
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NPI Number | 1043620032
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Entity Type | Individual
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Provider Name | STEPHANIE MARIE KOSKI AUD
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Gender | Female
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Dates
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Enumeration Date | 04/30/2014
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 3686 GRANDVIEW PARKWAY SUITE 530
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City | BIRMINGHAM
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State | AL
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Zip | 35243
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Country | US
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Telephone | 205-591-8260
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Fax | 205-595-0843
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Provider Business Mailing Address
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Address Line | 3686 GRANDVIEW PARKWAY SUITE 530
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City | BIRMINGHAM
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State | AL
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Zip | 35243
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Country | US
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Telephone | 205-591-8260
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Fax | 205-595-0843
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 1146A
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License Number State | AL
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