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General NPI Number Information
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NPI Number | 1376557215
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Entity Type | Individual
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Provider Name | HEATHER B DICKEY MSCCC-A
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Gender | Female
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 05/13/2024
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Provider Practice Location Address
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Address Line | 4348 ELECTRIC RD
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City | ROANOKE
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State | VA
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Zip | 24018-0720
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Country | US
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Telephone | 540-769-0700
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Fax | 540-343-4664
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Provider Business Mailing Address
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Address Line | 213 S JEFFERSON ST STE 1006
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City | ROANOKE
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State | VA
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Zip | 24011-1713
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Country | US
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Telephone | 540-224-5705
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 002236
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AP1285
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License Number State | ME
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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 | 2201001649
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 2201001649
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License Number State | VA
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