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General NPI Number Information
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NPI Number | 1093189714
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Entity Type | Individual
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Provider Name | MICHELLE LOUIE AUD
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Gender | Female
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Dates
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Enumeration Date | 11/18/2015
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Last Update Date | 01/11/2016
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Provider Practice Location Address
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Address Line | 747 52ND ST
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City | OAKLAND
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State | CA
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Zip | 94609-1809
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Country | US
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Telephone | 510-428-3344
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Fax |
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Provider Business Mailing Address
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Address Line | 1642 CRESCENT DRIVE
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City | WALNUT CREEK
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State | CA
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Zip | 94598
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Country | US
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Telephone | 925-285-6934
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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 | AU 3091
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License Number State | CA
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