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General NPI Number Information
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NPI Number | 1700098704
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Entity Type | Individual
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Provider Name | LAURA ELIZABETH SALOME AUD
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Gender | Female
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 06/29/2022
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Provider Practice Location Address
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Address Line | 1225 S LATSON RD
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City | HOWELL
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State | MI
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Zip | 48843-7643
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Country | US
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Telephone | 810-494-4327
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Fax | 810-494-4329
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Provider Business Mailing Address
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Address Line | 3136 PINE BLFS
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City | HIGHLAND
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State | MI
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Zip | 48357-4249
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Country | US
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Telephone | 845-781-0969
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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 | 1601000167
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State | MI
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