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General NPI Number Information
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NPI Number | 1518288430
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Entity Type | Individual
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Provider Name | JEANNEANNE MARIE RAMACHO-TALLEY AU.D.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2010
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Last Update Date | 12/04/2018
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Provider Practice Location Address
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Address Line | 820 BAY AVE STE 210
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City | CAPITOLA
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State | CA
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Zip | 95010-2103
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Country | US
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Telephone | 831-854-2882
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Fax |
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Provider Business Mailing Address
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Address Line | 44 SEARS CIR
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City | SOQUEL
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State | CA
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Zip | 95073-2824
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Country | US
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Telephone | 917-755-8794
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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 | 80437
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License Number State | TX
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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 | AU 3105
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State | NC
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