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General NPI Number Information
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NPI Number | 1265122287
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Entity Type | Individual
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Provider Name | AMBER KATELAN TILLEY AU.D.
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Gender | Female
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Dates
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Enumeration Date | 05/11/2023
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 328 W WACKERLY ST
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City | MIDLAND
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State | MI
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Zip | 48640-4700
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Country | US
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Telephone | 989-839-8230
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Fax |
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Provider Business Mailing Address
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Address Line | 2650 MCCARTY RD
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City | SAGINAW
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State | MI
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Zip | 48603-2554
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Country | US
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Telephone | 989-793-2701
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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 | MI
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