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General NPI Number Information
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NPI Number | 1104915180
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Entity Type | Individual
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Provider Name | LINDA LOU MYHRE HIS
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Gender | Female
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 2845 NW KITSAP PL
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City | SILVERDALE
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State | WA
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Zip | 98383-9447
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Country | US
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Telephone | 360-692-7056
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Fax | 253-759-2988
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Provider Business Mailing Address
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Address Line | 1311 S UNION AVE STE 102
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City | TACOMA
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State | WA
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Zip | 98405-1959
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Country | US
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Telephone | 253-759-3555
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Fax | 253-759-2988
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA00002378
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License Number State | WA
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