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General NPI Number Information
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NPI Number | 1093892341
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Entity Type | Individual
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Provider Name | BARBARA JOY GESSNER AU.D.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 751 KENMOOR AVE SE STE B
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-2391
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Country | US
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Telephone | 616-954-1895
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Fax | 616-954-2093
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Provider Business Mailing Address
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Address Line | 3298 DEPT
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City | CAROL STREAM
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State | IL
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Zip | 60122-0021
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Country | US
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Telephone | 561-478-8770
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Fax | 561-598-7231
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 1601000231
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License Number State | MI
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