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General NPI Number Information
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NPI Number | 1326027608
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Entity Type | Individual
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Provider Name | CARA ELAINE GRAHAM AU.D
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Gender | Female
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Dates
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Enumeration Date | 01/13/2006
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Last Update Date | 09/17/2014
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Provider Practice Location Address
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Address Line | 775 WAUKEGAN RD SUITE 200
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City | DEERFIELD
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State | IL
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Zip | 60015-4342
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Country | US
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Telephone | 800-317-0711
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Fax | 800-434-7113
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Provider Business Mailing Address
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Address Line | 415 CHESTER DR
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City | RICHMOND
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State | IN
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Zip | 47374-1001
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Country | US
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Telephone | 765-962-2242
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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 | 23002322A
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License Number State | IN
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