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General NPI Number Information
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NPI Number | 1740715077
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Entity Type | Individual
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Provider Name | SUZANNE THUM M.A.CCC-A
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Gender | Female
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Dates
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Enumeration Date | 04/24/2017
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Last Update Date | 04/25/2017
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Provider Practice Location Address
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Address Line | 400 N ERIE HWY STE A
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City | HAMILTON
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State | OH
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Zip | 45011-4264
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Country | US
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Telephone | 937-238-7223
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Fax |
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Provider Business Mailing Address
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Address Line | 400 N ERIE HWY STE A
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City | HAMILTON
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State | OH
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Zip | 45011-4264
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Country | US
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Telephone |
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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 | 00479
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License Number State | OH
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