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General NPI Number Information
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NPI Number | 1982726899
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Entity Type | Individual
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Provider Name | TRACY HAGAN WINN AU.D.
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 10/16/2019
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Provider Practice Location Address
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Address Line | 2240 CAMPUS DR
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City | EVANSTON
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State | IL
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Zip | 60208-0895
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Country | US
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Telephone | 847-491-3165
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Fax | 847-467-0410
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Provider Business Mailing Address
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Address Line | 2315 CAMPUS DR
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City | EVANSTON
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State | IL
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Zip | 60208-0895
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Country | US
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Telephone | 847-491-3165
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Fax | 847-467-7141
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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 | 147000871
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License Number State | IL
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