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General NPI Number Information
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NPI Number | 1932474590
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Entity Type | Individual
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Provider Name | AMANDA F GRAY-BAUM
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Gender | Female
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Dates
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Enumeration Date | 03/15/2012
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 3805 GLENWILLOW WAY
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City | LOUISVILLE
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State | KY
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Zip | 40299-3300
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Country | US
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Telephone | 502-263-3503
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Fax |
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Provider Business Mailing Address
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Address Line | 3805 GLENWILLOW WAY
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City | LOUISVILLE
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State | KY
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Zip | 40299-3300
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Country | US
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Telephone | 502-263-3503
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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 | 231HA2500X
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Taxonomy Name | Assistive Technology Supplier Audiologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 231HA2400X
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Taxonomy Name | Assistive Technology Practitioner Audiologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 235500000X
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Taxonomy Name | Speech/Language/Hearing Specialist/Technologist
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License Number |
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License Number State |
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