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NPI 1053967729

NPI 1053967729 : RACHEL C SPINUZZA AUD : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1053967729
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL C SPINUZZA AUD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/17/2019
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    Last Update Date     |    09/28/2022
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Provider Practice Location Address
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    Address Line         |    3607 MANOR RD STE 101 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78723-5818
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    Country              |    US
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    Telephone            |    512-478-2273
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    Fax                  |    512-472-0921
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Provider Business Mailing Address
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    Address Line         |    4320 SUWANEE DAM RD STE 200 
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    City                 |    SUWANEE
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    State                |    GA
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    Zip                  |    30024-1951
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    Country              |    US
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    Telephone            |    404-297-4320
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    Fax                  |    678-710-9430
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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       |    81211
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    License Number State |    TX
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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       |    AUD004205
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    License Number State |    GA
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