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General NPI Number Information
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NPI Number | 1326838681
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Entity Type | Individual
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Provider Name | KATIE MORT HADE
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Gender | Female
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 4915 E BASELINE RD STE 123
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City | GILBERT
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State | AZ
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Zip | 85234-2969
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Country | US
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Telephone | 480-562-6001
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Fax |
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Provider Business Mailing Address
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Address Line | 1727 E PECOS RD APT 1071
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City | GILBERT
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State | AZ
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Zip | 85295-1863
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Country | US
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Telephone | 251-402-7840
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HADE16152
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License Number State | AZ
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