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General NPI Number Information
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NPI Number | 1407061906
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Entity Type | Individual
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Provider Name | ANNE K PENHALE M.S., CCC-A
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 985 NINTH AVENUE S W SUITE 308
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City | BESSEMER
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State | AL
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Zip | 35022
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Country | US
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Telephone | 205-481-7780
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Fax | 205-481-7740
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Provider Business Mailing Address
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Address Line | 985 NINTH AVENUE S W SUITE 308
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City | BESSEMER
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State | AL
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Zip | 35022
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Country | US
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Telephone | 205-481-7780
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Fax | 205-481-7740
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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 | 899A
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License Number State | AL
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