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General NPI Number Information
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NPI Number | 1215355516
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Entity Type | Individual
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Provider Name | SHANNON SYARTO AU.D.
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Gender | Female
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Dates
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Enumeration Date | 04/03/2014
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Last Update Date | 04/03/2014
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Provider Practice Location Address
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Address Line | 26777 LORAIN RD SUITE 317
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City | NORTH OLMSTED
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State | OH
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Zip | 44070
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Country | US
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Telephone | 440-716-9200
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Fax | 440-716-9207
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Provider Business Mailing Address
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Address Line | 2845 NORTH RIDGE EAST
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City | ASHTABULA
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State | OH
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Zip | 44004
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Country | US
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Telephone | 440-992-0101
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Fax | 440-992-0096
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | A.01878
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License Number State | OH
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