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General NPI Number Information
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NPI Number | 1306281175
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Entity Type | Individual
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Provider Name | SHERYL L STRATTON BROGDON AUD
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Gender | Female
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Dates
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Enumeration Date | 05/07/2013
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Last Update Date | 05/07/2013
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Provider Practice Location Address
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Address Line | 11181 HEALTH PARK BLVD STE 3000
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City | NAPLES
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State | FL
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Zip | 34110-5743
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Country | US
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Telephone | 239-430-5550
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Fax | 239-430-5559
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Provider Business Mailing Address
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Address Line | 2335 AARON ST
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-5305
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Country | US
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Telephone | 941-258-3295
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Fax | 941-258-3292
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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 | AY826
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License Number State | FL
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