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General NPI Number Information
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NPI Number | 1548208499
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Entity Type | Individual
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Provider Name | MINDY KATE TANNER AU.D.
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Gender | Female
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 560 VAN REED RD STE 205
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City | WYOMISSING
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State | PA
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Zip | 19610-1799
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Country | US
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Telephone | 610-404-8025
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Fax | 610-404-8045
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Provider Business Mailing Address
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Address Line | 175 CUSHION PEAK RD
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City | WERNERSVILLE
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State | PA
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Zip | 19565-9493
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Country | US
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Telephone | 610-413-7820
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Fax | 610-404-8045
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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 | AT005180
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License Number State | PA
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