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General NPI Number Information
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NPI Number | 1780748269
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Entity Type | Individual
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Provider Name | HEATHER ANN PETERSOHN MILLER AU.D.
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Gender | Female
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6308 8TH AVE SUITE 3000
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City | KENOSHA
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State | WI
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Zip | 53143-5031
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Country | US
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Telephone | 262-656-3300
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Fax | 262-656-3265
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Provider Business Mailing Address
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Address Line | 6308 8TH AVE SUITE 3000
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City | KENOSHA
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State | WI
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Zip | 53143-5031
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Country | US
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Telephone | 262-656-3300
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Fax | 262-656-3265
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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 | 355-156
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 231HA2400X
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Taxonomy Name | Assistive Technology Practitioner Audiologist
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License Number | 355-156
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 231HA2500X
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Taxonomy Name | Assistive Technology Supplier Audiologist
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License Number | 355-156
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 355-156
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License Number State | WI
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