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General NPI Number Information
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NPI Number | 1063210888
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Entity Type | Individual
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Provider Name | KATHLEEN ROSE KAMMERER AUD
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Gender | Female
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 925 CHESTNUT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4216
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Country | US
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Telephone | 215-955-6760
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 S BROAD ST APT 625
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City | PHILADELPHIA
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State | PA
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Zip | 19147-3665
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Country | US
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Telephone | 516-476-4330
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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 | AT007014
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License Number State | PA
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