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General NPI Number Information
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NPI Number | 1467833004
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Entity Type | Individual
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Provider Name | MILA L. NELSON AUD, CCC-A, FAAA
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Gender | Female
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Dates
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Enumeration Date | 06/09/2015
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Last Update Date | 06/10/2015
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Provider Practice Location Address
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Address Line | 601 N MAIN ST SUITE 1
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City | ELLENSBURG
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State | WA
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Zip | 98926-6304
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Country | US
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Telephone | 509-962-9575
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Fax | 509-962-5575
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Provider Business Mailing Address
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Address Line | 601 N MAIN ST SUITE 1
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City | ELLENSBURG
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State | WA
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Zip | 98926-6304
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Country | US
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Telephone | 509-962-9575
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Fax | 509-962-5575
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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 | LD60570967
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | LD60570967
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License Number State | WA
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