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General NPI Number Information
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NPI Number | 1841336369
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Entity Type | Individual
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Provider Name | LORI KIELTY GIROUARD AUD CCC-A
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 07/02/2019
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Provider Practice Location Address
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Address Line | 3601 SE OCEAN BLVD STE 205
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City | STUART
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State | FL
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Zip | 34996-6753
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Country | US
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Telephone | 772-678-6925
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Fax | 772-678-6954
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Provider Business Mailing Address
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Address Line | 3455 SW CANOE PL
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City | PALM CITY
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State | FL
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Zip | 34990-1830
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Country | US
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Telephone | 772-464-9595
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Fax | 772-464-9582
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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 | AY1114
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License Number State | FL
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