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General NPI Number Information
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NPI Number | 1457090599
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Entity Type | Individual
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Provider Name | CHANTAL SIMARD AUD
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Gender | Female
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Dates
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Enumeration Date | 05/27/2022
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 158 NH ROUTE 108 STE G
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City | DOVER
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State | NH
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Zip | 03820-8812
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Country | US
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Telephone | 603-742-6555
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Fax | 603-742-3256
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Provider Business Mailing Address
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Address Line | 2 CENTURY LN
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City | LITCHFIELD
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State | NH
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Zip | 03052-1074
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Country | US
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Telephone | 603-913-3424
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 01608
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 01608
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A854
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License Number State | NH
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