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General NPI Number Information
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NPI Number | 1891721734
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Entity Type | Individual
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Provider Name | LAUREN JOANN CLINTON AU. D.
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Gender | Female
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 07/26/2012
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Provider Practice Location Address
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Address Line | 2611 PRINGLE RD SE
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City | SALEM
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State | OR
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Zip | 97302-1533
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Country | US
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Telephone | 503-385-4582
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Fax | 503-540-4473
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Provider Business Mailing Address
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Address Line | 2611 PRINGLE RD SE
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City | SALEM
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State | OR
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Zip | 97302-1533
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Country | US
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Telephone | 503-385-4582
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Fax | 503-540-4473
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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 | 22745
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License Number State | OR
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