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General NPI Number Information
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NPI Number | 1942224647
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Entity Type | Individual
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Provider Name | KELLI L. DAVENPORT AUD
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 860 W 7TH ST
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City | HANFORD
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State | CA
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Zip | 93230-4926
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Country | US
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Telephone | 559-585-7252
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Fax |
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Provider Business Mailing Address
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Address Line | 2311 HILLMAN ST APT 226
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City | TULARE
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State | CA
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Zip | 93274-8069
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Country | US
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Telephone | 559-827-5870
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AU2649
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License Number State | CA
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