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General NPI Number Information
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NPI Number | 1174459812
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Entity Type | Individual
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Provider Name | CHEYANNE WALLER AUD
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Gender | Female
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 235 BLOOMFIELD DR STE 108
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City | LITITZ
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State | PA
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Zip | 17543-7792
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Country | US
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Telephone | 717-584-8162
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Fax |
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Provider Business Mailing Address
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Address Line | 407 SUSAN AVE
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City | STRASBURG
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State | PA
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Zip | 17579-1042
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Country | US
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Telephone | 717-940-1606
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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 | AT007101
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License Number State | PA
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