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General NPI Number Information
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NPI Number | 1366413619
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Entity Type | Individual
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Provider Name | ANNA MARIE DECKER
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Gender | Female
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 12/07/2012
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Provider Practice Location Address
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Address Line | 355 CAMPUS DR STE B
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City | HANFORD
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State | CA
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Zip | 93230-4338
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Country | US
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Telephone | 559-584-6684
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Fax |
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Provider Business Mailing Address
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Address Line | 14824 WILD CAT LN
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City | PRATHER
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State | CA
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Zip | 93651-9753
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Country | US
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Telephone |
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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 | AU1541
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License Number State | CA
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