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General NPI Number Information
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NPI Number | 1669596334
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Entity Type | Individual
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Provider Name | HOLLI ANN LISH M.A. CCC-A
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 65 W STREET RD SUITE B104
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City | WARMINSTER
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State | PA
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Zip | 18974-3226
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Country | US
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Telephone | 215-499-4528
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Fax |
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Provider Business Mailing Address
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Address Line | 65 W STREET RD SUITE B104
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City | WARMINSTER
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State | PA
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Zip | 18974-3226
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Country | US
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Telephone | 215-672-4327
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Fax | 215-646-0565
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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 | AT000862-L
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License Number State | PA
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