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General NPI Number Information
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NPI Number | 1174805972
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Entity Type | Individual
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Provider Name | KRISTINE MOORE CURRAN AU.D.
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Gender | Female
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 02/23/2022
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Provider Practice Location Address
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Address Line | 139 N MAIN ST
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City | WEST HARTFORD
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State | CT
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Zip | 06107-1269
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Country | US
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Telephone | 860-570-2331
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Fax |
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Provider Business Mailing Address
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Address Line | 1 NOD BROOK LN
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City | SIMSBURY
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State | CT
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Zip | 06070-3017
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Country | US
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Telephone | 404-272-7030
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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 | 637
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License Number State | CO
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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 | 697
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License Number State | CT
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