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General NPI Number Information
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NPI Number | 1659527828
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Entity Type | Individual
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Provider Name | REBECCA DANIELLE MCCOY AUD.
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Gender | Female
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Dates
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Enumeration Date | 08/07/2008
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 101 W. MCKINLEY AVE.
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City | DECATUR
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State | IL
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Zip | 62526
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Country | US
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Telephone | 217-876-3682
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Fax | 217-876-3345
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Provider Business Mailing Address
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Address Line | 101 W. MCKINLEY AVE.
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City | DECATUR
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State | IL
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Zip | 62526
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Country | US
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Telephone | 217-876-3682
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Fax | 217-876-3345
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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 | A . 01644
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 147.001324
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License Number State | IL
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