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General NPI Number Information
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NPI Number | 1245912880
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Entity Type | Individual
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Provider Name | KAYLEIGH MCCOLLUM AU.D
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Gender | Female
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Dates
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Enumeration Date | 08/03/2023
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 1618 GUNBARREL RD STE 102
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City | CHATTANOOGA
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State | TN
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Zip | 37421-4139
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Country | US
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Telephone | 423-710-1432
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Fax |
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Provider Business Mailing Address
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Address Line | 1618 GUNBARREL RD STE 102
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City | CHATTANOOGA
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State | TN
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Zip | 37421-4139
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Country | US
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Telephone | 423-710-1432
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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 | 2193
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License Number State | TN
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