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General NPI Number Information
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NPI Number | 1336540178
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Entity Type | Individual
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Provider Name | KAITLYN IVES AU.D.
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Gender | Female
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Dates
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Enumeration Date | 09/11/2014
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Last Update Date | 08/18/2021
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Provider Practice Location Address
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Address Line | 1492 S MILL AVE STE 301
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City | TEMPE
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State | AZ
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Zip | 85281-5676
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Country | US
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Telephone | 480-894-5550
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Fax |
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Provider Business Mailing Address
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Address Line | 6553 E BAYWOOD AVE STE 104
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City | MESA
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State | AZ
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Zip | 85206-1753
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Country | US
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Telephone | 602-956-1250
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Fax | 623-321-8620
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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 | DA9099
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License Number State | AZ
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