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General NPI Number Information
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NPI Number | 1942868526
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Entity Type | Individual
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Provider Name | ALYSSA FEHRINGER AUD
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Gender | Female
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Dates
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Enumeration Date | 05/30/2019
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 326 1/2 CALDWELL BLVD
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City | NAMPA
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State | ID
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Zip | 83651-1926
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Country | US
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Telephone | 208-461-5059
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Fax | 208-461-5071
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Provider Business Mailing Address
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Address Line | 6432 W DOUGLAS ST
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City | BOISE
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State | ID
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Zip | 83704-9229
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Country | US
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Telephone | 208-731-0646
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AUD-3893
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License Number State | ID
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