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General NPI Number Information
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NPI Number | 1568305324
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Entity Type | Individual
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Provider Name | KNELA TRACY
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Gender |
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 3302 WESTBOURNE DR
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City | CINCINNATI
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State | OH
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Zip | 45248-5133
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Country | US
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Telephone | 513-922-0123
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Fax |
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Provider Business Mailing Address
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Address Line | 109 BEECHGROVE AVE
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City | BATESVILLE
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State | IN
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Zip | 47006-1414
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Country | US
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Telephone | 773-962-1076
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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 | IL.03592
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License Number State | OH
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