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General NPI Number Information
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NPI Number | 1699323956
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Entity Type | Individual
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Provider Name | KATIE ELIZABETH KEESE AUD
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Gender | Female
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Dates
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Enumeration Date | 08/29/2019
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Last Update Date | 08/29/2019
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Provider Practice Location Address
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Address Line | 14506 W GRANITE VALLEY DR STE 117
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City | SUN CITY WEST
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State | AZ
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Zip | 85375-6011
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Country | US
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Telephone | 602-714-2709
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Fax |
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Provider Business Mailing Address
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Address Line | 13934 N 59TH AVE STE 120
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City | GLENDALE
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State | AZ
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Zip | 85306-4168
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Country | US
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Telephone | 602-866-0147
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | DA11943
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License Number State | AZ
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