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General NPI Number Information
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NPI Number | 1790746568
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Entity Type | Individual
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Provider Name | DAWN C HAGGART M.A.
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Gender | Female
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 11277 VERNON PL STE 1400
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City | MEADVILLE
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State | PA
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Zip | 16335-3710
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Country | US
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Telephone | 814-333-5100
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Fax | 814-333-5103
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Provider Business Mailing Address
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Address Line | 1034 GROVE ST
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City | MEADVILLE
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State | PA
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Zip | 16335-2945
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Country | US
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Telephone | 814-333-5100
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Fax | 814-333-5103
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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 | AT001170L
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License Number State | PA
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