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General NPI Number Information
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NPI Number | 1225698020
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Entity Type | Individual
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Provider Name | SAVANNAH ANNE SAMPSON AU.D.
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Gender | Female
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Dates
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Enumeration Date | 06/14/2019
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Last Update Date | 06/14/2019
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Provider Practice Location Address
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Address Line | 2415 7TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-3317
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Country | US
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Telephone | 259-933-8101
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Fax |
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Provider Business Mailing Address
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Address Line | 8442 WOOD MANOR CV
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City | CORDOVA
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State | TN
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Zip | 38016-2031
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Country | US
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Telephone | 901-870-7264
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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 |
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License Number State |
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