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General NPI Number Information
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NPI Number | 1427018308
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Entity Type | Individual
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Provider Name | CONNIE MARY SZYMCZAK M.A.
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Gender | Female
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 369 W 1ST ST SUITE 406
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City | DAYTON
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State | OH
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Zip | 45402-3095
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Country | US
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Telephone | 937-222-0022
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Fax |
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Provider Business Mailing Address
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Address Line | 9891 MONTGOMERY RD SUITE 367
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City | CINCINNATI
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State | OH
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Zip | 45242-6424
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Country | US
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Telephone | 513-807-0230
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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 | A-0592
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License Number State | OH
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