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NPI 1356341291

NPI 1356341291 : MICHELE L HILLARD CCC-A : ISSAQUAH, WA

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General NPI Number Information
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    NPI Number           |    1356341291
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    Entity Type          |    Individual 
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    Provider Name        |    MICHELE L HILLARD CCC-A
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/21/2005
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    Last Update Date     |    10/19/2023
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Provider Practice Location Address
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    Address Line         |    49 FRONT ST N 
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    City                 |    ISSAQUAH
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    State                |    WA
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    Zip                  |    98027-3237
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    Country              |    US
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    Telephone            |    425-391-3343
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    Fax                  |    425-391-5692
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Provider Business Mailing Address
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    Address Line         |    PO BOX 73 
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    City                 |    ISSAQUAH
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    State                |    WA
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    Zip                  |    98027-0004
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    Country              |    US
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    Telephone            |    425-391-3343
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    Fax                  |    425-391-5692
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    237600000X
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    Taxonomy Name        |    Audiologist-Hearing Aid Fitter
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    LD00001725
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    License Number State |    WA
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