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General NPI Number Information
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NPI Number | 1326665951
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Entity Type | Individual
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Provider Name | CLAIRE COOTE AU.D., CCC-A
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Gender | Female
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Dates
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Enumeration Date | 06/30/2020
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 6099 WAYZATA BLVD XCHANGE MEDICAL BUILDING, STE 200
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City | ST LOUIS PARK
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State | MN
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Zip | 55416
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Country | US
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Telephone | 612-871-1144
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Fax | 865-544-5816
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Provider Business Mailing Address
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Address Line | 6099 WAYZATA BLVD XCHANGE MEDICAL BUILDING, STE 200
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City | ST LOUIS PARK
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State | MN
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Zip | 55416
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Country | US
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Telephone | 952-217-5843
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Fax | 865-544-5816
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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 | 528504
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License Number State | MN
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