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General NPI Number Information
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NPI Number | 1467699033
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Entity Type | Individual
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Provider Name | BRANDY POULIOT AU.D.
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Gender | Female
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Dates
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Enumeration Date | 01/19/2009
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Last Update Date | 01/19/2009
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Provider Practice Location Address
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Address Line | 7593 W BOYNTON BEACH BLVD SUITE 160
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-6154
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Country | US
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Telephone | 561-742-9880
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Fax |
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Provider Business Mailing Address
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Address Line | 401 BUTTONWOOD LN
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-7112
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Country | US
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Telephone | 603-799-6434
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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 | AY1528
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License Number State | FL
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