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General NPI Number Information
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NPI Number | 1063177798
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Entity Type | Individual
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Provider Name | CORINNE PYNE AU.D
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Gender | Female
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Dates
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Enumeration Date | 11/08/2021
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Last Update Date | 11/08/2021
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Provider Practice Location Address
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Address Line | 8120 GATEHOUSE RD FL 1
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City | FALLS CHURCH
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State | VA
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Zip | 22042-1204
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Country | US
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Telephone | 703-524-4344
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 N VEITCH ST UNIT 1514
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City | ARLINGTON
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State | VA
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Zip | 22201-6209
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Country | US
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Telephone | 703-298-4162
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Fax |
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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 | 2201001803
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License Number State | VA
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