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General NPI Number Information
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NPI Number | 1225382104
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Entity Type | Individual
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Provider Name | RYNDA KAY ANDREW B.C -H.I.S.
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Gender | Female
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Dates
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Enumeration Date | 10/31/2012
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Last Update Date | 09/21/2022
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Provider Practice Location Address
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Address Line | 606 S 8TH ST
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City | GRIFFIN
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State | GA
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Zip | 30224-4214
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Country | US
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Telephone | 770-229-6666
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Fax |
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Provider Business Mailing Address
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Address Line | 85 EDGEWATER DRIVE
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City | GRIFFIN
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State | GA
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Zip | 30223
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Country | US
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Telephone | 281-745-7471
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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 | 80427
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License Number State | TX
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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 | HADS000972
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License Number State | GA
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