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General NPI Number Information
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NPI Number | 1548092992
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Entity Type | Individual
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Provider Name | MACIE L WILLHITE AU.D.
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Gender | Female
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Dates
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Enumeration Date | 08/15/2024
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 8402 HARCOURT RD STE 400
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-2053
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Country | US
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Telephone | 317-338-6815
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Fax | 317-338-6582
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Provider Business Mailing Address
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Address Line | 50 COUNTRY MANOR LN APT I
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City | CENTERVILLE
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State | OH
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Zip | 45458-2326
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Country | US
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Telephone | 765-667-7073
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 23002914A
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License Number State | IN
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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 | 23002914A
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License Number State | IN
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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 | A.02553
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License Number State | OH
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