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General NPI Number Information
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NPI Number | 1336318732
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Entity Type | Individual
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Provider Name | WENDY K. F. DWIGANS AU.D., CCC-A
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Gender | Female
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 428 22ND ST BLDG 21712
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City | FT EISENHOWER
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State | GA
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Zip | 30905-5303
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Country | US
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Telephone | 706-787-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 300 W HOSPITAL RD
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City | FT EISENHOWER
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State | GA
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Zip | 30905-5741
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Country | US
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Telephone | 706-787-7300
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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 | 23002377A
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License Number State | IN
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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 | 357-156
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License Number State | WI
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