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General NPI Number Information
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NPI Number | 1497878136
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Entity Type | Individual
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Provider Name | MEGHAN M CRIMMINS AU.D.
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Gender | Female
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 660 N WESTMORELAND RD
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City | LAKE FOREST
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State | IL
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Zip | 60045-1659
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Country | US
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Telephone | 847-535-6114
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Fax | 847-535-7809
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Provider Business Mailing Address
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Address Line | 6322 N RICHMOND ST 1B
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City | CHICAGO
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State | IL
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Zip | 60659-1539
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Country | US
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Telephone | 773-764-6098
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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 | 147001222
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License Number State | IL
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