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General NPI Number Information
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NPI Number | 1568630473
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Entity Type | Individual
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Provider Name | JANELLE I BLAIR HEARING SPECIALIST
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Gender | Female
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 15440 N 99TH AVE STE 17
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City | SUN CITY
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State | AZ
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Zip | 85351-1962
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Country | US
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Telephone | 623-977-0506
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Fax | 623-971-9498
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Provider Business Mailing Address
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Address Line | 750 N COMMONS DR STE 200
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City | AURORA
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State | IL
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Zip | 60504-7940
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Country | US
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Telephone | 630-303-5380
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Fax | 630-303-5385
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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 | HAD4303
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License Number State | AZ
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