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General NPI Number Information
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NPI Number | 1780966903
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Entity Type | Individual
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Provider Name | AMANDA ABRISCH AUD
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Gender | Female
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Dates
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Enumeration Date | 09/13/2011
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Last Update Date | 09/11/2020
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Provider Practice Location Address
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Address Line | 10666 N TORREY PINES RD
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City | LA JOLLA
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State | CA
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Zip | 92037-1027
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Country | US
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Telephone | 858-554-8998
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Fax | 858-554-6971
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Provider Business Mailing Address
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Address Line | 10790 RANCHO BERNARDO RD
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City | SAN DIEGO
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State | CA
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Zip | 92127-5705
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Country | US
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Telephone | 858-554-8998
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Fax | 858-554-6971
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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 | AU3530
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 666
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AU3530
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 666
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License Number State | CO
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