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General NPI Number Information
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NPI Number | 1316802648
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Entity Type | Individual
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Provider Name | GENNY LEE LITTLE HAD
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Gender | Female
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 44650 MONTEREY AVE
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City | PALM DESERT
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State | CA
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Zip | 92260-3326
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Country | US
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Telephone | 760-340-4290
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Fax | 760-340-9726
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Provider Business Mailing Address
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Address Line | 44650 MONTEREY AVE
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City | PALM DESERT
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State | CA
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Zip | 92260-3326
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Country | US
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Telephone | 760-340-4290
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Fax | 760-340-9726
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA9208
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License Number State | CA
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