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General NPI Number Information
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NPI Number | 1154880664
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Entity Type | Individual
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Provider Name | ELISE HERRMANN AU.D CCC-A
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Gender | Female
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Dates
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Enumeration Date | 03/14/2019
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 1333 MEADOWLARK LN STE 205
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City | KANSAS CITY
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State | KS
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Zip | 66102-1200
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Country | US
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Telephone | 913-391-6973
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Fax |
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Provider Business Mailing Address
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Address Line | 13920 S RAINTREE DR
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City | OLATHE
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State | KS
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Zip | 66062-1917
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Country | US
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Telephone | 316-250-5472
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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 | 2019007768
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 2019007768
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 2276
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License Number State | KS
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