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General NPI Number Information
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NPI Number | 1538162862
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Entity Type | Individual
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Provider Name | VERONICA H. HEIDE AUD
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Gender | Female
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 01/07/2010
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Provider Practice Location Address
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Address Line | 5727 PEMBROKE DR
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City | FITCHBURG
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State | WI
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Zip | 53711-5225
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Country | US
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Telephone | 608-273-3036
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Fax | 608-273-0779
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Provider Business Mailing Address
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Address Line | 5727 PEMBROKE DR
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City | FITCHBURG
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State | WI
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Zip | 53711-5225
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Country | US
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Telephone | 608-273-3036
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Fax | 608-273-0779
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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 | 4-156
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License Number State | WI
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