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General NPI Number Information
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NPI Number | 1699438218
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Entity Type | Individual
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Provider Name | AURORA NEESON VANDERHART LHIS
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Gender | Female
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Dates
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Enumeration Date | 10/20/2021
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Last Update Date | 12/16/2022
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Provider Practice Location Address
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Address Line | 38 44TH ST SW
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City | GRANDVILLE
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State | MI
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Zip | 49418-2177
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Country | US
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Telephone | 616-457-6100
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Fax | 616-457-6101
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Provider Business Mailing Address
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Address Line | 38 44TH ST SW
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City | GRANDVILLE
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State | MI
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Zip | 49418-2177
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Country | US
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Telephone | 616-457-6100
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Fax | 616-457-6101
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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 | 2355A2700X
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Taxonomy Name | Audiology Assistant
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License Number | 3502010172
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 3502010172
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License Number State | MI
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