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General NPI Number Information
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NPI Number | 1073555702
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Entity Type | Individual
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Provider Name | JOANNE GREENE AUD
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Gender | Female
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 09/07/2016
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Provider Practice Location Address
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Address Line | 774 CHRISTIANA RD NEUROSCIENCE BLDG SUITE B4
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City | NEWARK
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State | DE
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Zip | 19713-4236
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Country | US
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Telephone | 302-266-2449
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Fax | 302-266-2450
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Provider Business Mailing Address
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Address Line | 608 BARKER DR
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City | WEST CHESTER
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State | PA
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Zip | 19380-6348
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Country | US
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Telephone | 484-354-7256
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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 | 020000143
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License Number State | DE
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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 | AT005943
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License Number State | PA
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