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General NPI Number Information
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NPI Number | 1568779296
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Entity Type | Individual
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Provider Name | SHAWNA SUE LEE AU.D.
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Gender | Female
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 11/23/2011
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Provider Practice Location Address
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Address Line | 900 W CLAIREMONT AVE
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City | EAU CLAIRE
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State | WI
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Zip | 54701-6122
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Country | US
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Telephone | 715-717-6885
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Fax | 175-717-6886
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Provider Business Mailing Address
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Address Line | 900 W CLAIREMONT AVE
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City | EAU CLAIRE
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State | WI
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Zip | 54701-6122
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Country | US
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Telephone | 715-717-6885
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Fax | 175-717-6886
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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 | 567-156
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AU2743
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License Number State | CA
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