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General NPI Number Information
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NPI Number | 1881350536
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Entity Type | Individual
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Provider Name | SARAH ABIGAIL SOILEAU
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Gender | Female
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Dates
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Enumeration Date | 11/16/2021
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 114 W PRIEN LAKE RD
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City | LAKE CHARLES
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State | LA
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Zip | 70601-8571
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Country | US
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Telephone | 337-310-0632
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Fax |
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Provider Business Mailing Address
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Address Line | 5750 JOHNSTON ST STE 502
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City | LAFAYETTE
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State | LA
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Zip | 70503-5334
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Country | US
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Telephone | 337-417-9200
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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 |
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License Number State |
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