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General NPI Number Information
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NPI Number | 1285664599
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Entity Type | Individual
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Provider Name | VICKIE B DIONNE AU.D.
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Gender | Female
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 10/13/2015
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Provider Practice Location Address
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Address Line | CORNER OF ROLFE CHRISTOPHER AND IOWA STREET
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City | BEAUMONT
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State | TX
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Zip | 77710
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Country | US
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Telephone | 409-880-8171
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Fax | 409-880-2265
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Provider Business Mailing Address
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Address Line | 2407 AVENUE M
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City | NEDERLAND
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State | TX
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Zip | 77627-6264
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Country | US
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Telephone |
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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 | 51155
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 51155
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License Number State | TX
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