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NPI 1477735983

NPI 1477735983 : SUMMER RAYE KARNS HEARD AUD : CHILDERSBURG, AL

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General NPI Number Information
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    NPI Number           |    1477735983
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    Entity Type          |    Individual 
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    Provider Name        |    SUMMER RAYE KARNS HEARD AUD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/27/2007
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    Last Update Date     |    04/17/2019
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Provider Practice Location Address
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    Address Line         |    33605 US HIGHWAY 280 
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    City                 |    CHILDERSBURG
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    State                |    AL
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    Zip                  |    35044
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    Country              |    US
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    Telephone            |    256-378-7000
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    Fax                  |    256-378-0730
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Provider Business Mailing Address
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    Address Line         |    6700 WASHINGTON AVE S 
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    City                 |    EDEN PRAIRIE
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    State                |    MN
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    Zip                  |    55344-3405
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    Country              |    US
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    Telephone            |    612-351-1529
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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       |    0997A
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    License Number State |    AL
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Taxonomy #2
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    Taxonomy Code        |    237700000X
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    Taxonomy Name        |    Hearing Instrument Specialist
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    License Number       |    0997A
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    License Number State |    AL
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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       |    0997A
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    License Number State |    AL
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