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General NPI Number Information
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NPI Number | 1619883691
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Entity Type | Individual
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Provider Name | CHEYENNE NEWALLIS AU.D
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Gender | Female
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 2451 MISSION COLLEGE BLVD
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City | SANTA CLARA
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State | CA
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Zip | 95054-1214
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Country | US
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Telephone | 408-523-3910
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Fax |
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Provider Business Mailing Address
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Address Line | 2231 N TAPER AVE
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City | SAN PEDRO
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State | CA
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Zip | 90731-1161
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Country | US
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Telephone | 310-427-1065
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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 | CA
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