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General NPI Number Information
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NPI Number | 1568635563
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Entity Type | Individual
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Provider Name | CORINNE LEE MANN AU.D
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Gender | Female
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Dates
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Enumeration Date | 04/10/2008
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 17870 CASTLETON ST STE 208
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91748-5877
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Country | US
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Telephone | 626-723-2160
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Fax |
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Provider Business Mailing Address
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Address Line | 10605 COSTELLO DR
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City | TUSTIN
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State | CA
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Zip | 92782-1402
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Country | US
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Telephone | 714-505-3886
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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 | AU1390
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License Number State | CA
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