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General NPI Number Information
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NPI Number | 1053443325
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Entity Type | Individual
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Provider Name | THERESA SOKOL SHEVETZ AUD
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 3837 ATTUCKS DR
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City | POWELL
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State | OH
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Zip | 43065-6082
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Country | US
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Telephone | 614-812-7886
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Fax | 614-553-7314
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Provider Business Mailing Address
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Address Line | 3837 ATTUCKS DR
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City | POWELL
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State | OH
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Zip | 43065-6082
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Country | US
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Telephone | 614-812-7883
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Fax | 614-553-7314
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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 | A01448
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | A01366
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License Number State | OH
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