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NPI 1619189032

NPI 1619189032 : AMANDA SUE MEANS AU.D. : ELKINS, WV

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General NPI Number Information
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    NPI Number           |    1619189032
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    Entity Type          |    Individual 
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    Provider Name        |    AMANDA SUE MEANS AU.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/06/2007
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    Last Update Date     |    04/02/2020
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Provider Practice Location Address
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    Address Line         |    7 11TH ST 
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    City                 |    ELKINS
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    State                |    WV
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    Zip                  |    26241-3511
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    Country              |    US
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    Telephone            |    304-630-6002
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    Fax                  |    304-630-6003
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Provider Business Mailing Address
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    Address Line         |    7 11TH ST 
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    City                 |    ELKINS
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    State                |    WV
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    Zip                  |    26241-3511
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    Country              |    US
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    Telephone            |    276-964-7439
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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        |    237600000X
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    Taxonomy Name        |    Audiologist-Hearing Aid Fitter
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    License Number       |    0222
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    License Number State |    WV
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