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General NPI Number Information
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NPI Number | 1104335017
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Entity Type | Organization
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Legal Business Name | NINEHART AND ASSOCIATES LLC
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Dates
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Enumeration Date | 09/22/2017
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Last Update Date | 09/22/2017
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Provider Practice Location Address
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Address Line | 333 W BROWN DEER RD STE M
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City | MILWAUKEE
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State | WI
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Zip | 53217-2367
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Country | US
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Telephone | 414-446-5207
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Fax |
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Provider Business Mailing Address
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Address Line | 6541 N BRAEBURN LN
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City | GLENDALE
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State | WI
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Zip | 53209-3323
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | ANNE N TAYLOR
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Credential |
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Telephone | 414-412-6684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 060-1331
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License Number State | WI
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