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General NPI Number Information
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NPI Number | 1598926925
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Entity Type | Individual
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Provider Name | MS. TAMMY MAGEE
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Gender | Female
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 7020 YOUREE DR STE E
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City | SHREVEPORT
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State | LA
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Zip | 71105-5109
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Country | US
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Telephone | 318-797-3311
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Fax | 318-797-0508
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Provider Business Mailing Address
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Address Line | 400 S HENDERSON ST
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City | FORT WORTH
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State | TX
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Zip | 76104-1017
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Country | US
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Telephone | 817-335-2583
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Fax | 817-335-2597
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 1132
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License Number State | LA
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