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General NPI Number Information
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NPI Number | 1962011676
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Entity Type | Individual
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Provider Name | TRAM ANH NGUYEN AU.D
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Gender | Female
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Dates
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Enumeration Date | 07/28/2020
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 3099 RIVER RD S
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City | SALEM
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State | OR
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Zip | 97302-9754
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Country | US
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Telephone | 971-209-4551
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Fax | 503-485-2168
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Provider Business Mailing Address
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Address Line | 9280 SE SUNNYBROOK BLVD STE 300
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City | CLACKAMAS
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State | OR
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Zip | 97015-9353
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Country | US
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Telephone | 503-233-5548
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Fax | 503-230-1009
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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 | 30977
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License Number State | OR
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