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General NPI Number Information
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NPI Number | 1972238921
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Entity Type | Individual
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Provider Name | SARA ARLENE TENNANT AUD
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Gender | Female
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Dates
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Enumeration Date | 07/22/2022
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 26 OLD MILL BLVD
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City | WASHINGTON
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State | PA
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Zip | 15301-6738
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Country | US
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Telephone | 247-288-8212
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Fax |
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Provider Business Mailing Address
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Address Line | 26 OLD MILL BLVD
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City | WASHINGTON
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State | PA
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Zip | 15301-6738
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Country | US
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Telephone | 247-288-8212
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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 | A.2408
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A-0397
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License Number State | WV
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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 | AT006966
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License Number State | PA
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