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General NPI Number Information
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NPI Number | 1821502568
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Entity Type | Individual
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Provider Name | JOANNE WEEDEN BC-HIS
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Gender | Female
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Dates
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Enumeration Date | 11/16/2017
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 1901 FLOYD ST
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City | SARASOTA
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State | FL
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Zip | 34239-2932
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Country | US
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Telephone | 941-556-4264
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 FLOYD ST
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City | SARASOTA
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State | FL
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Zip | 34239-2932
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Country | US
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Telephone | 941-556-4264
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Fax |
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 1535-60
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HAS0708
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS5643
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License Number State | FL
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