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General NPI Number Information
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NPI Number | 1720686397
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Entity Type | Individual
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Provider Name | DREW ELIZABETH MCKENNA AU.D.
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Gender | Female
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Dates
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Enumeration Date | 10/15/2020
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Last Update Date | 10/15/2020
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Provider Practice Location Address
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Address Line | 8410 DATAPOINT DR
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3220
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Country | US
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Telephone | 210-870-6479
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Fax |
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Provider Business Mailing Address
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Address Line | 5202 TEXANA DR APT 215
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City | SAN ANTONIO
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State | TX
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Zip | 78249-3773
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Country | US
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Telephone | 219-241-5557
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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 | 81307
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License Number State | TX
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