=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841270881
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JAMIE METCALF DAUT M.S.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/17/2006
-----------------------------------------------------
Last Update Date | 07/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | PCS 490 BOX 7723
-----------------------------------------------------
City | FPO
-----------------------------------------------------
State | AP
-----------------------------------------------------
Zip | 96538
-----------------------------------------------------
Country | UM
-----------------------------------------------------
Telephone | 671-344-9443
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PCS 490 BOX 7723
-----------------------------------------------------
City | FPO
-----------------------------------------------------
State | AP
-----------------------------------------------------
Zip | 96538
-----------------------------------------------------
Country | UM
-----------------------------------------------------
Telephone | 671-344-9443
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number | LD00002571
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------