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General NPI Number Information
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NPI Number | 1568610327
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Entity Type | Individual
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Provider Name | ELAINE CARLSON
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Gender | Female
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Dates
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Enumeration Date | 09/05/2008
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Last Update Date | 09/05/2008
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Provider Practice Location Address
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Address Line | 17 WELLS ST STE. 201
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City | WESTERLY
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State | RI
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Zip | 02891-2923
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Country | US
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Telephone | 401-596-2033
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Fax |
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Provider Business Mailing Address
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Address Line | 17 WELLS ST STE. 201
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City | WESTERLY
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State | RI
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Zip | 02891-2923
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Country | US
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Telephone |
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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 | AUD00033
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License Number State | RI
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