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General NPI Number Information
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NPI Number | 1679258727
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Entity Type | Individual
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Provider Name | CHRISTIANA LEE FRASCONE AUD
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Gender | Female
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Dates
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Enumeration Date | 06/16/2023
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Last Update Date | 06/16/2023
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Provider Practice Location Address
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Address Line | 3857 WOLVERINE ST NE # 16-C
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City | SALEM
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State | OR
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Zip | 97305-4270
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Country | US
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Telephone | 503-877-1684
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Fax |
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Provider Business Mailing Address
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Address Line | 1295 NEAL AVE N
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City | LAKE ELMO
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State | MN
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Zip | 55042-9609
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Country | US
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Telephone | 651-785-5231
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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 | 31709
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License Number State | OR
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