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General NPI Number Information
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NPI Number | 1760533038
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Entity Type | Individual
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Provider Name | MICHELLE RONDINELLI MS CCC AUD
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Gender | Female
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 5300 HARROUN RD SUITE 218
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City | SYLVANIA
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State | OH
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Zip | 43560-2182
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Country | US
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Telephone | 419-824-1399
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Fax | 419-824-1455
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Provider Business Mailing Address
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Address Line | 7140 PORT SYLVANIA DR 600
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City | TOLEDO
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State | OH
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Zip | 43617-1176
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Country | US
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Telephone | 419-843-8178
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Fax | 419-843-8698
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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 | A00642
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License Number State | OH
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