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General NPI Number Information
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NPI Number | 1215263264
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Entity Type | Individual
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Provider Name | AYDA SHIMELIS AU.D.
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Gender | Female
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Dates
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Enumeration Date | 10/27/2009
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Last Update Date | 01/26/2016
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Provider Practice Location Address
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Address Line | US DEPARTMENT OF VETERANS AFFAIRS 50 IRVING ST. NW
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City | WASHINGTON
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State | DC
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Zip | 20422-0001
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Country | US
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Telephone | 202-745-8000
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Fax |
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Provider Business Mailing Address
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Address Line | US DEPARTMENT OF VETERANS AFFAIRS 50 IRVING ST, NW
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City | WASHINGTON
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State | DC
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Zip | 20422-0001
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Country | US
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Telephone | 202-745-8000
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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 | 41YA00076100
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License Number State | NJ
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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 | AT006124
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License Number State | PA
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