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NPI 1801067434

NPI 1801067434 : AMY KERBY CCC-A : PLANO, TX

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General NPI Number Information
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    NPI Number           |    1801067434
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    Entity Type          |    Individual 
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    Provider Name        |    AMY KERBY CCC-A
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/24/2008
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    Last Update Date     |    09/16/2014
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Provider Practice Location Address
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    Address Line         |    6300 W PARKER RD STE 221
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75093-8100
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    Country              |    US
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    Telephone            |    972-378-3708
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8230 WALNUT HILL LN STE 420 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75231-4400
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    Country              |    US
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    Telephone            |    214-265-0800
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    Fax                  |    214-265-1027
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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       |    51515
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    License Number State |    TX
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