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NPI 1336189737

NPI 1336189737 : KAREN K LASSEIGNE AUD, C.C.C.-A : SUN CITY, AZ

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General NPI Number Information
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    NPI Number           |    1336189737
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN K LASSEIGNE AUD, C.C.C.-A
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/07/2006
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    Last Update Date     |    05/20/2013
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Provider Practice Location Address
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    Address Line         |    13041 N DEL WEBB BLVD CIGNA HEARING CENTER
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    City                 |    SUN CITY
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    State                |    AZ
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    Zip                  |    85351-3034
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    Country              |    US
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    Telephone            |    623-876-2101
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    Fax                  |    623-876-2393
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Provider Business Mailing Address
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    Address Line         |    13041 N DEL WEBB BLVD CIGNA HEARING CENTER
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    City                 |    SUN CITY
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    State                |    AZ
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    Zip                  |    85351-3034
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    Country              |    US
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    Telephone            |    623-876-2101
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    Fax                  |    623-876-2393
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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       |    3501002167
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    DA5187
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    License Number State |    AZ
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