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NPI 1588460935

NPI 1588460935 : KIRA ELOUISE WHITE AU.D. : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1588460935
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    Entity Type          |    Individual 
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    Provider Name        |    KIRA ELOUISE WHITE AU.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/24/2025
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    Last Update Date     |    12/10/2025
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Provider Practice Location Address
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    Address Line         |    8402 HARCOURT RD STE 400 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46260-2053
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    Country              |    US
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    Telephone            |    317-338-6815
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3601 S LAKE MARY RD APT 364 
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    City                 |    FLAGSTAFF
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    State                |    AZ
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    Zip                  |    86005-9253
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    Country              |    US
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    Telephone            |    917-937-6040
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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       |    DA15981
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    License Number State |    AZ
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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       |    23002936A
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    License Number State |    IN
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