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General NPI Number Information
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NPI Number | 1598501728
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Entity Type | Individual
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Provider Name | STEPHANIE XIN AUD
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Gender | Female
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Dates
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Enumeration Date | 07/08/2024
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 13100 E 136TH ST STE 2500
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City | FISHERS
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State | IN
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Zip | 46037-9813
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Country | US
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Telephone | 317-944-6467
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Fax | 317-222-2103
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Provider Business Mailing Address
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Address Line | 250 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4959
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Country | US
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Telephone |
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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 | 23002860A
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License Number State | IN
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