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General NPI Number Information
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NPI Number | 1316937345
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Entity Type | Organization
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Legal Business Name | NANCY A. CONGDON, M.S., P.C.
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 05/06/2013
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Provider Practice Location Address
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Address Line | 6800 MAIN ST #114
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City | DOWNERS GROVE
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State | IL
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Zip | 60516-3493
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Country | US
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Telephone | 630-963-6161
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Fax | 630-963-6162
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Provider Business Mailing Address
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Address Line | 6800 MAIN ST #114
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City | DOWNERS GROVE
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State | IL
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Zip | 60516-3493
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Country | US
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Telephone | 630-963-6161
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Fax | 630-963-6162
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NANCY A CONGDON
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Credential | AU.D.
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Telephone | 630-963-6161
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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 | 147-000020
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License Number State | IL
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