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General NPI Number Information
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NPI Number | 1548832967
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Entity Type | Individual
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Provider Name | PATRICIA ALLEN
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Gender | Female
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Dates
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Enumeration Date | 07/14/2021
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Last Update Date | 07/14/2021
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Provider Practice Location Address
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Address Line | 309 APACHE DR STE A
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City | MCCOMB
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State | MS
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Zip | 39648-6309
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Country | US
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Telephone | 601-250-1114
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Fax | 866-541-6167
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Provider Business Mailing Address
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Address Line | 1119 BERTHADALE RD
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City | MCCOMB
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State | MS
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Zip | 39648-8242
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Country | US
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Telephone | 601-810-2365
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HAO522
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA0552
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License Number State | MS
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