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General NPI Number Information
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NPI Number | 1780579235
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Entity Type | Individual
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Provider Name | KATHRYN ANNE JENKINS FERREIRA CCC-A, AUD
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Gender | Female
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 3180 NORTH POINT PKWY BLDG 500, SUITE 512
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City | ALPHARETTA
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State | GA
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Zip | 30005-4569
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Country | US
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Telephone | 770-292-3045
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Fax | 770-292-3046
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Provider Business Mailing Address
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Address Line | 13280 WARRENSVILLE CV
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City | ALPHARETTA
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State | GA
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Zip | 30004-7634
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Country | US
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Telephone | 404-416-0799
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Fax | 770-292-3046
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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 | AUD004459
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License Number State | GA
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