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General NPI Number Information
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NPI Number | 1235173410
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Entity Type | Individual
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Provider Name | TAMMY HUNTSMAN BROWN M.A., CCC-A
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Gender | Female
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 01/05/2017
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Provider Practice Location Address
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Address Line | 11140 MONTGOMERY RD
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City | CINCINNATI
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State | OH
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Zip | 45249-2309
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Country | US
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Telephone | 513-421-5558
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Fax | 513-632-5804
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Provider Business Mailing Address
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Address Line | 237 WILLIAM HOWARD TAFT, PHYS DIV 2ND FL, CBO2-3, ATTN: CREDENTIALING
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City | OXFORD
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State | OH
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Zip | 45219-2610
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Country | US
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Telephone | 513-263-8571
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Fax | 513-366-4480
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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 | A-00944
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License Number State | OH
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