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General NPI Number Information
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NPI Number | 1619981412
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Entity Type | Individual
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Provider Name | ANGELA D. WHITTAKER AUD
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Gender | Female
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 6490 S MCCARRAN BLVD STE 29
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City | RENO
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State | NV
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Zip | 89509-6124
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Country | US
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Telephone | 775-561-4327
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Fax | 775-686-6160
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Provider Business Mailing Address
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Address Line | 6490 S MCCARRAN BLVD STE 29
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City | RENO
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State | NV
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Zip | 89509-6124
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Country | US
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Telephone | 775-561-4327
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Fax | 775-686-6160
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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 | A-174
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | A-174
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License Number State | NV
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