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General NPI Number Information
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NPI Number | 1336667377
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Entity Type | Individual
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Provider Name | NICOLE LYNNE KENDIG AU.D.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2017
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Last Update Date | 08/30/2017
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Provider Practice Location Address
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Address Line | 321 N FURNACE ST STE 90
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City | BIRDSBORO
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State | PA
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Zip | 19508-2057
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Country | US
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Telephone | 610-404-8025
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Fax | 610-404-8045
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Provider Business Mailing Address
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Address Line | 800 GOLDEN DR APT A11
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City | BLANDON
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State | PA
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Zip | 19510-9448
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Country | US
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Telephone | 610-401-5259
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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 | AT006533
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License Number State | PA
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