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General NPI Number Information
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NPI Number | 1720244361
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Entity Type | Organization
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Legal Business Name | SIMETRIA FALL PREVENTION CENTERS LLC
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | 4010 DUPONT CIR SUITE 562
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City | LOUISVILLE
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State | KY
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Zip | 40207-4812
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Country | US
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Telephone | 502-896-8333
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Fax |
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Provider Business Mailing Address
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Address Line | 4010 DUPONT CIRCLE SUITE 562
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City | LOUISVILLE
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State | KY
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Zip | 40207
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Country | US
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Telephone | 502-896-8333
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Fax |
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Authorized Official
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Title or Position | CLINIC ADMINISTRATOR
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Name | DR. MELANIE DRISCOLL
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Credential | AU.D.
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Telephone | 502-896-8333
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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 | KY-0420
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License Number State | KY
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