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General NPI Number Information
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NPI Number | 1316906647
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Entity Type | Individual
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Provider Name | SHANNON B BRAMLETTE M.A.
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Gender | Female
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 1000 JASON WITTEN WAY
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City | ELIZABETHTON
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State | TN
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Zip | 37643-2970
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Country | US
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Telephone | 423-439-4355
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Fax | 423-543-0581
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Provider Business Mailing Address
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Address Line | PO BOX 699
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City | MOUNTAIN HOME
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State | TN
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Zip | 37684-0699
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Country | US
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Telephone | 276-466-3006
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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 | 220100647
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License Number State | VA
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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 | 2101001206
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 1696
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License Number State | TN
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