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General NPI Number Information
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NPI Number | 1366620049
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Entity Type | Individual
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Provider Name | JEANNA EGGERS M.S.,CCC-A
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Gender | Female
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 02/05/2008
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Provider Practice Location Address
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Address Line | 22455 MAPLE CT STE 103
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City | HAYWARD
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State | CA
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Zip | 94541-4031
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Country | US
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Telephone | 510-690-1818
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Fax | 510-690-1828
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Provider Business Mailing Address
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Address Line | 22455 MAPLE CT STE 103
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City | HAYWARD
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State | CA
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Zip | 94541-4031
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Country | US
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Telephone | 510-690-1818
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Fax | 510-690-1828
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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 | AU 2575
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License Number State | CA
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