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General NPI Number Information
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NPI Number | 1881842318
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Entity Type | Individual
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Provider Name | TERRY MITCHELL CHARONNAT M.S.
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Gender | Female
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 744 52ND ST SUITE 4200
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City | OAKLAND
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State | CA
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Zip | 94609-1810
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Country | US
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Telephone | 510-658-3277
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Fax | 877-769-9966
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Provider Business Mailing Address
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Address Line | PO BOX 5538
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City | BERKELEY
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State | CA
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Zip | 94705-0538
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Country | US
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Telephone | 510-658-3277
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Fax | 877-769-9966
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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 | AU 508
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | HA 1980
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License Number State | CA
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