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General NPI Number Information
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NPI Number | 1225696875
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Entity Type | Individual
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Provider Name | ANGELA POLLACK AUD
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Gender | Female
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Dates
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Enumeration Date | 05/30/2019
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 201 N ILLINOIS ST FL 16
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-1904
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Country | US
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Telephone | 888-964-6681
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Fax | 888-662-0859
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Provider Business Mailing Address
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Address Line | 888 WORCESTER ST STE 130
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City | WELLESLEY
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State | MA
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Zip | 02482-3744
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Country | US
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Telephone | 888-964-6681
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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 | 1601001055
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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