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General NPI Number Information
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NPI Number | 1205974698
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Entity Type | Individual
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Provider Name | JOAN LEE ALLEN M.A., CCC-A
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Gender | Female
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 12/13/2013
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Provider Practice Location Address
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Address Line | 580 WESTPORT RD SUITE B
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2949
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Country | US
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Telephone | 270-766-5370
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Fax | 270-766-5375
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Provider Business Mailing Address
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Address Line | 610 ERIN DR
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-5200
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Country | US
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Telephone | 812-283-1930
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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 | 0096
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License Number State | KY
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