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General NPI Number Information
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NPI Number | 1750419586
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Entity Type | Individual
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Provider Name | JEANETTE MARIE FITZKE AU.D.
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 13041 N DEL WEBB BLVD
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City | SUN CITY
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State | AZ
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Zip | 85351-3034
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Country | US
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Telephone | 623-876-2101
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Fax | 623-876-2393
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Provider Business Mailing Address
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Address Line | 25104 N 68TH DR
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City | PEORIA
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State | AZ
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Zip | 85383-7112
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Country | US
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Telephone | 623-566-7924
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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 | DA1662
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License Number State | AZ
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