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General NPI Number Information
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NPI Number | 1326769696
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Entity Type | Individual
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Provider Name | MEGHAN FULLER AUD
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Gender | Female
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Dates
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Enumeration Date | 09/06/2022
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 1 PERKINS SQUARE CONSIDINE BUILDING, ENT/AUDIOLOGY
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City | AKRON
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State | OH
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Zip | 44308
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Country | US
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Telephone | 330-543-4930
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Fax |
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Provider Business Mailing Address
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Address Line | 3214 ROBINS TRCE
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City | AKRON
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State | OH
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Zip | 44319-3874
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Country | US
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Telephone | 330-590-7252
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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 | A.02384
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License Number State | OH
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