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General NPI Number Information
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NPI Number | 1700575321
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Entity Type | Individual
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Provider Name | EMILY SUSAN ROZNOWSKI AUD
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Gender | Female
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 1909 S 72ND ST # A-1
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City | TACOMA
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State | WA
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Zip | 98408-1203
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Country | US
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Telephone | 253-697-5200
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Fax | 253-864-3939
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Provider Business Mailing Address
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Address Line | PO BOX 5299 MS: 820-5-PCO
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City | TACOMA
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State | WA
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Zip | 98415-0299
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Country | US
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Telephone | 253-459-8231
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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 | 31080
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License Number State | OR
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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 | LD61560625
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License Number State | WA
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