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General NPI Number Information
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NPI Number | 1215633615
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Entity Type | Individual
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Provider Name | KATIE STICKEL
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Gender | Female
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 04/02/2024
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Provider Practice Location Address
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Address Line | 4300 BELMONT AVE STE 2
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-1084
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Country | US
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Telephone | 330-759-9907
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Fax |
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Provider Business Mailing Address
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Address Line | 724 S BELLE VISTA AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44509-2250
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Country | US
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Telephone | 330-787-4708
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 03474
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License Number State | OH
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