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General NPI Number Information
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NPI Number | 1467640540
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Entity Type | Individual
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Provider Name | CECILIA REED CCC-A
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Gender | Female
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Dates
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Enumeration Date | 10/14/2007
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Last Update Date | 02/07/2019
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Provider Practice Location Address
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Address Line | 1 ESSEX CENTER DR
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City | PEABODY
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State | MA
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Zip | 01960-2901
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Country | US
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Telephone | 916-691-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 1 ESSEX CENTER DR
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City | PEABODY
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State | MA
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Zip | 01960-2901
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Country | US
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Telephone | 978-538-4361
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AU 2495 , HA7249
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License Number State | CA
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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 | 1011
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License Number State | MA
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