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General NPI Number Information
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NPI Number | 1699337014
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Entity Type | Individual
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Provider Name | LACI KAY LE AUD
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Gender | Female
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Dates
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Enumeration Date | 07/05/2019
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Last Update Date | 02/25/2021
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Provider Practice Location Address
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Address Line | 156 W SUNSET RD STE 200
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City | SAN ANTONIO
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State | TX
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Zip | 78209-5760
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Country | US
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Telephone | 210-802-4058
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Fax |
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Provider Business Mailing Address
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Address Line | 7403 WURZBACH RD APT 408
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3843
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Country | US
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Telephone | 618-978-0630
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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 | 81321
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License Number State | TX
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