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General NPI Number Information
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NPI Number | 1083234918
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Entity Type | Organization
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Legal Business Name | KRISTIE M. DANNEMILLER-SMITH
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Dates
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Enumeration Date | 04/21/2020
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Last Update Date | 06/18/2020
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Provider Practice Location Address
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Address Line | 390 ROBINSON AVE STE B
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City | BARBERTON
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State | OH
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Zip | 44203-3659
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Country | US
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Telephone | 330-734-6360
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Fax | 330-734-6363
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Provider Business Mailing Address
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Address Line | 390 ROBINSON AVE STE B
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City | BARBERTON
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State | OH
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Zip | 44203-3659
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Country | US
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Telephone | 330-734-6360
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Fax | 330-734-6363
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Authorized Official
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Title or Position | OWNER
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Name | KRISTIE M DANNEMILLER-SMITH
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Credential | AU.D.
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Telephone | 330-592-0472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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