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NPI 1407257843

NPI 1407257843 : GRETCHEN CLAIRE PERKINS AUD : PALO ALTO, CA

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General NPI Number Information
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    NPI Number           |    1407257843
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    Entity Type          |    Individual 
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    Provider Name        |    GRETCHEN CLAIRE PERKINS AUD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/04/2014
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    Last Update Date     |    09/04/2014
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Provider Practice Location Address
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    Address Line         |    2452 WATSON CT SUITE 1500
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    City                 |    PALO ALTO
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    State                |    CA
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    Zip                  |    94303-3216
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    Country              |    US
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    Telephone            |    650-498-4327
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    Fax                  |    650-736-4327
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Provider Business Mailing Address
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    Address Line         |    2452 WATSON CT SUITE 1500
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    City                 |    PALO ALTO
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    State                |    CA
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    Zip                  |    94303-3216
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    Country              |    US
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    Telephone            |    650-498-4327
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    Fax                  |    650-736-4327
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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       |    AU2849
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    License Number State |    CA
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