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NPI 1750940656

NPI 1750940656 : ABBEY L DURCHHOLZ AUD. CCC-A : EVANSVILLE, IN

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General NPI Number Information
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    NPI Number           |    1750940656
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    Entity Type          |    Individual 
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    Provider Name        |    ABBEY L DURCHHOLZ AUD. CCC-A
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/13/2019
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    Last Update Date     |    06/30/2025
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Provider Practice Location Address
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    Address Line         |    1401 PROFESSIONAL BLVD 
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    City                 |    EVANSVILLE
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    State                |    IN
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    Zip                  |    47714-8014
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    Country              |    US
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    Telephone            |    812-473-2060
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    Fax                  |    812-473-0763
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Provider Business Mailing Address
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    Address Line         |    1401 PROFESSIONAL BLVD 
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    City                 |    EVANSVILLE
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    State                |    IN
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    Zip                  |    47714-8014
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    Country              |    US
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    Telephone            |    812-473-2060
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    Fax                  |    812-473-0763
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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       |    1601001010
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    License Number State |    MI
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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       |    275325
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    License Number State |    KY
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Taxonomy #3
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    Taxonomy Code        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    23002701A
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    License Number State |    IN
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