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General NPI Number Information
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NPI Number | 1427602457
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Entity Type | Individual
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Provider Name | REBECCA LEIGH KRIVOSHEY AUD
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Gender | Female
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Dates
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Enumeration Date | 07/29/2019
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 1215 21ST AVE S STE 9302
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City | NASHVILLE
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State | TN
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Zip | 37232-0014
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Country | US
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Telephone | 615-936-7685
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 CHESTNUT STREET, FLOOR 16
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City | PHILADELPHIA
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State | PA
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Zip | 19107
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Country | US
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Telephone |
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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 | 1892
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License Number State | TN
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