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General NPI Number Information
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NPI Number | 1689112070
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Entity Type | Individual
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Provider Name | KRISTINE ELIZABETH SONSTROM MALOWSKI AU.D., PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/06/2017
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | PO BOX 900
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City | GROTON
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State | CT
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Zip | 06349-5900
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Country | US
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Telephone | 860-694-2550
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Fax |
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Provider Business Mailing Address
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Address Line | 9 BARBERS RD
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City | NORWICH
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State | CT
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Zip | 06360-9468
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Country | US
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Telephone | 860-402-4396
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Fax | 330-972-7884
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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 | 17.000726
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License Number State | CT
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