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General NPI Number Information
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NPI Number | 1750959706
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Entity Type | Individual
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Provider Name | EMERY ELIZABETH BULLA AUD
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Gender | Female
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Dates
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Enumeration Date | 06/16/2021
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Last Update Date | 06/16/2021
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Provider Practice Location Address
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Address Line | 3024 NEW BERN AVE STE 200
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City | RALEIGH
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State | NC
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Zip | 27610-1247
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Country | US
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Telephone | 919-350-3277
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Fax |
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Provider Business Mailing Address
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Address Line | 4700 RIVERWOOD CIR APT 274
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City | RALEIGH
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State | NC
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Zip | 27612-5753
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Country | US
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Telephone | 336-328-6716
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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 | 14953
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License Number State | NC
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