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General NPI Number Information
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NPI Number | 1548270846
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Entity Type | Individual
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Provider Name | MICHELLE MENENDEZ CCCA
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Gender | Female
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | N. PINELLAS CBOC VA 1721 MAIN ST.
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City | DUNEDIN
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State | FL
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Zip | 34698
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Country | US
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Telephone | 727-734-5276
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Fax |
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Provider Business Mailing Address
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Address Line | 2122 SWAN LANE
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City | SAFETY HARBOR
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State | FL
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Zip | 34695
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Country | US
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Telephone | 727-799-6770
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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 | AY922
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License Number State | FL
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