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General NPI Number Information
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NPI Number | 1326086927
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Entity Type | Individual
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Provider Name | MARCI L SHUMAN MS CCC A
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Gender | Female
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 11/14/2007
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Provider Practice Location Address
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Address Line | 117 E KENTUCKY STREET
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City | LOUISVILLE
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State | KY
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Zip | 40203-2793
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Country | US
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Telephone | 502-584-3573
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Fax | 502-583-6364
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Provider Business Mailing Address
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Address Line | 115 E KENTUCKY STREET
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City | LOUISVILLE
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State | KY
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Zip | 40203-2793
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Country | US
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Telephone | 502-515-3320
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Fax | 502-515-3325
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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 | 0437
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License Number State | KY
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