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General NPI Number Information
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NPI Number | 1609651355
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Entity Type | Individual
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Provider Name | EMILY THOMAS AU.D.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2023
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 2920 S MCINTIRE DR STE 350
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City | BLOOMINGTON
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State | IN
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Zip | 47403-4215
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Country | US
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Telephone | 812-353-3277
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 S SARE RD APT 425
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City | BLOOMINGTON
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State | IN
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Zip | 47401-8022
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Country | US
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Telephone | 765-469-7489
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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 |
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License Number State |
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