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General NPI Number Information
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NPI Number | 1952342347
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Entity Type | Individual
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Provider Name | DIANE MARIE CONTRERAS AU.D.,CCC-A
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Gender | Female
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 9000 W WISCONSIN AVE
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City | MILWAUKEE
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State | WI
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Zip | 53226-3518
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Country | US
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Telephone | 414-266-7674
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Fax | 414-266-6189
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Provider Business Mailing Address
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Address Line | 804 MINAKA DR
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City | WAUKESHA
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State | WI
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Zip | 53188-5604
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Country | US
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Telephone | 262-522-9874
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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 | 382156
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License Number State | WI
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