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General NPI Number Information
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NPI Number | 1437280849
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Entity Type | Individual
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Provider Name | LEE MICKEN AU.D.
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 1008 N 7TH AVE
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City | BOZEMAN
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State | MT
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Zip | 59715-2567
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Country | US
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Telephone | 406-586-0914
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Fax | 406-586-6667
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Provider Business Mailing Address
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Address Line | 1008 N 7TH AVE
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City | BOZEMAN
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State | MT
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Zip | 59715-2567
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Country | US
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Telephone | 406-586-0914
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Fax | 406-586-6667
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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 | 5
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License Number State | MT
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