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General NPI Number Information
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NPI Number | 1518018035
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Entity Type | Individual
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Provider Name | JAMIE SUZANNE MASSEY AUD, CCC-A
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Gender | Female
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 7103 SAN PEDRO AVE SUITE A
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City | SAN ANTONIO
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State | TX
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Zip | 78216-6219
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Country | US
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Telephone | 210-348-5556
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Fax | 210-348-5449
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Provider Business Mailing Address
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Address Line | 750 N COMMONS DR STE 200
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City | AURORA
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State | IL
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Zip | 60504-7940
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Country | US
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Telephone | 630-303-5380
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Fax | 630-303-5385
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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 |
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License Number State |
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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 | 51677
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License Number State | TX
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