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General NPI Number Information
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NPI Number | 1275594921
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Entity Type | Individual
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Provider Name | RULA G FRITZ AU.D.,
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Gender | Female
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 10/03/2022
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Provider Practice Location Address
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Address Line | 1670 CLAIRMONT RD
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City | DECATUR
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State | GA
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Zip | 30033-4004
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Country | US
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Telephone | 770-229-3247
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Fax |
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Provider Business Mailing Address
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Address Line | 40 W INDEPENDENCE CIR
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City | MCDONOUGH
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State | GA
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Zip | 30253-6550
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Country | US
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Telephone | 404-883-8271
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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 | AUD004121
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AY1089
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License Number State | FL
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