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General NPI Number Information
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NPI Number | 1821722117
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Entity Type | Individual
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Provider Name | LAUREN ELYSSE WATSON AUD
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Gender | Female
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Dates
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Enumeration Date | 07/12/2022
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Last Update Date | 07/12/2022
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Provider Practice Location Address
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Address Line | 2006 N 291 HWY
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City | HARRISONVILLE
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State | MO
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Zip | 64701-1224
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Country | US
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Telephone | 816-884-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 5410 SKYLINE DR
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City | ROELAND PARK
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State | KS
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Zip | 66205-1168
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Country | US
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Telephone | 316-992-7810
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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