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General NPI Number Information
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NPI Number | 1295383719
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Entity Type | Individual
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Provider Name | MEGHANN JEAN KEEHNER AUD
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Gender | Female
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Dates
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Enumeration Date | 08/28/2019
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Last Update Date | 08/28/2019
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Provider Practice Location Address
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Address Line | 1 QUALITY DR
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City | VACAVILLE
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State | CA
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Zip | 95688-9494
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Country | US
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Telephone | 707-624-2703
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Fax |
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Provider Business Mailing Address
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Address Line | 2219 1/2 K ST
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City | SACRAMENTO
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State | CA
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Zip | 95816-4922
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Country | US
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Telephone | 916-342-4191
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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 | 3445
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License Number State | CA
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