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General NPI Number Information
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NPI Number | 1851876015
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Entity Type | Individual
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Provider Name | KATHRYN BUCHANAN AU.D., CCC-A
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Gender | Female
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 09/17/2021
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Provider Practice Location Address
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Address Line | 1721 ADMIRAL TAUSSIG BLVD
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City | NORFOLK
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State | VA
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Zip | 23511-2802
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Country | US
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Telephone | 757-953-6583
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Fax |
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Provider Business Mailing Address
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Address Line | 631 CONNECTICUT AVE
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City | NORFOLK
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State | VA
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Zip | 23508-2707
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Country | US
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Telephone | 757-953-6583
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 3373
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License Number State | CA
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