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NPI 1710981345

NPI 1710981345 : SHERI C MARSHALL AUD : CARTERSVILLE, GA

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General NPI Number Information
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    NPI Number           |    1710981345
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    Entity Type          |    Individual 
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    Provider Name        |    SHERI C MARSHALL AUD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/10/2005
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    Last Update Date     |    05/20/2020
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Provider Practice Location Address
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    Address Line         |    150 GENTILLY BLVD 
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    City                 |    CARTERSVILLE
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    State                |    GA
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    Zip                  |    30120-8522
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    Country              |    US
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    Telephone            |    770-276-7215
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    Fax                  |    770-276-7216
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Provider Business Mailing Address
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    Address Line         |    221 TECHNOLOGY PKWY NW 
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    City                 |    ROME
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    State                |    GA
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    Zip                  |    30165-1369
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    Country              |    US
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    Telephone            |    706-295-5331
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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       |    AUD000603
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    License Number State |    GA
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