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General NPI Number Information
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NPI Number | 1275033920
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Entity Type | Individual
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Provider Name | KAREN SUTLIFF BLOCK
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Gender | Female
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Dates
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Enumeration Date | 02/20/2018
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Last Update Date | 04/18/2023
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Provider Practice Location Address
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Address Line | 5353 WILLIAMS DR STE 112
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City | GEORGETOWN
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State | TX
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Zip | 78633-2045
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Country | US
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Telephone | 512-468-7776
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Fax |
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Provider Business Mailing Address
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Address Line | 109 TUSCANY DR
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City | GEORGETOWN
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State | TX
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Zip | 78628-7066
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Country | US
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Telephone | 561-797-9291
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 80755
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 80755
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License Number State | TX
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