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General NPI Number Information
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NPI Number | 1063668788
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Entity Type | Individual
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Provider Name | MAUREEN ANN WHITEAKER M.A.
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Gender | Female
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 3305 PLACER ST SUITE A
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City | REDDING
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State | CA
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Zip | 96001
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Country | US
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Telephone | 530-243-3687
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Fax | 530-243-3383
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Provider Business Mailing Address
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Address Line | 3305 PLACER STREET SUITE A
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City | REDDING
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State | CA
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Zip | 96001
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Country | US
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Telephone | 530-243-3687
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Fax | 530-243-3383
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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 | AU935
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License Number State | CA
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