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General NPI Number Information
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NPI Number | 1568834919
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Entity Type | Individual
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Provider Name | WENDY OSMUN H.A.D
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Gender | Female
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Dates
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Enumeration Date | 10/26/2015
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Last Update Date | 10/26/2015
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Provider Practice Location Address
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Address Line | 5620 CRAWFORDSVILLE RD STE Q
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City | SPEEDWAY
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State | IN
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Zip | 46224-3726
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Country | US
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Telephone | 317-388-8144
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Fax | 317-388-8160
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Provider Business Mailing Address
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Address Line | 7602 SAINT GEORGE BLVD
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City | FISHERS
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State | IN
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Zip | 46038-1967
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Country | US
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Telephone | 317-919-1895
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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 | 17001453A
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License Number State | IN
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