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General NPI Number Information
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NPI Number | 1073293171
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Entity Type | Individual
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Provider Name | EMILY K CULLUM
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Gender | Female
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 2944 BRECKENRIDGE LN
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City | LOUISVILLE
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State | KY
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Zip | 40220-1409
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Country | US
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Telephone | 502-995-5525
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Fax | 770-615-6091
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Provider Business Mailing Address
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Address Line | 516 HIGHWOOD DR
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City | LOUISVILLE
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State | KY
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Zip | 40206-3295
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Country | US
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Telephone | 205-470-9557
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 23002932A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 300876
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License Number State | KY
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