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General NPI Number Information
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NPI Number | 1710905047
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Entity Type | Individual
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Provider Name | DAWN TUTT AU.D. CCC/A
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Gender | Female
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 10/03/2017
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Provider Practice Location Address
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Address Line | 302 RANDALL RD
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City | GENEVA
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State | IL
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Zip | 60134-4209
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Country | US
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Telephone | 630-456-7723
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Fax |
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Provider Business Mailing Address
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Address Line | 1860 PAYSHERE CIRCLE
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City | CHICAGO
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State | IL
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Zip | 60674-0001
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Country | US
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Telephone | 630-545-6016
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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 | 147000914
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License Number State | IL
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