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General NPI Number Information
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NPI Number | 1750802062
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Entity Type | Individual
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Provider Name | CASEY COMBS AUD
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Gender | Female
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Dates
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Enumeration Date | 06/28/2017
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1259 N RAINBOW DR STE 200
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City | DERBY
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State | KS
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Zip | 67037-3858
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Country | US
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Telephone | 316-295-3505
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Fax |
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Provider Business Mailing Address
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Address Line | 310 S HILLSIDE ST
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City | WICHITA
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State | KS
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Zip | 67211-2193
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Country | US
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Telephone | 316-684-2838
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Fax | 316-684-3326
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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 | 80981
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 2357
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License Number State | KS
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