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General NPI Number Information
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NPI Number | 1184016289
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Entity Type | Individual
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Provider Name | EMILY GUTZMANN
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Gender | Female
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Dates
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Enumeration Date | 02/26/2015
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Last Update Date | 02/26/2015
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Provider Practice Location Address
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Address Line | 107 W 5TH ST
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City | STORM LAKE
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State | IA
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Zip | 50588-2343
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Country | US
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Telephone | 712-732-3775
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Fax | 712-732-3775
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Provider Business Mailing Address
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Address Line | 3117 S 145TH ST
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City | OMAHA
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State | NE
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Zip | 68144-3201
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Country | US
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Telephone | 402-206-5033
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Fax | 712-732-3775
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 072944
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License Number State | IA
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