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General NPI Number Information
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NPI Number | 1114262904
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Entity Type | Individual
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Provider Name | ELIZABETH HANKINS AU.D.
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Gender | Female
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Dates
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Enumeration Date | 12/05/2012
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 8806 S REDWOOD RD SUITE 103
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City | WEST JORDAN
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State | UT
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Zip | 84088-9337
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Country | US
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Telephone | 801-495-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 5158 W BUCKEYE VIEW WAY
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City | RIVERTON
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State | UT
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Zip | 84096-6362
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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 |
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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 | 8416042-4101
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License Number State | UT
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