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General NPI Number Information
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NPI Number | 1982037305
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Entity Type | Individual
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Provider Name | EMILY ANN GAINES AU.D.
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Gender | Female
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Dates
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Enumeration Date | 08/21/2013
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Last Update Date | 08/16/2019
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Provider Practice Location Address
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Address Line | 40 SW 12TH ST STE C201
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City | OCALA
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State | FL
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Zip | 34471-6521
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Country | US
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Telephone | 352-351-3977
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 100174
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City | GAINESVILLE
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State | FL
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Zip | 32610-0174
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Country | US
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Telephone | 352-351-3977
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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 | 1691
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License Number State | TN
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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 | AY1806
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License Number State | FL
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