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General NPI Number Information
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NPI Number | 1114976438
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Entity Type | Individual
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Provider Name | ANNE-MARIE CALKINS OOTEN AU. D.
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Gender | Female
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Dates
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Enumeration Date | 05/06/2006
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 1711 S JEFFERSON AVE
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City | COOKEVILLE
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State | TN
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Zip | 38506-5581
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Country | US
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Telephone | 931-854-9499
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Fax |
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Provider Business Mailing Address
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Address Line | 1711 S JEFFERSON AVE
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City | COOKEVILLE
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State | TN
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Zip | 38506-5581
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Country | US
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Telephone | 931-854-9499
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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 | 1431
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AY1578
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License Number State | FL
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