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General NPI Number Information
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NPI Number | 1982980868
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Entity Type | Individual
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Provider Name | ANNA KHARLAMOVA AU.D., CCC-A
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Gender | Female
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Dates
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Enumeration Date | 10/24/2011
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Last Update Date | 10/24/2011
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Provider Practice Location Address
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Address Line | 660 SOUTHPOINTE CT STE 110
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-3806
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Country | US
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Telephone | 719-576-1476
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Fax |
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Provider Business Mailing Address
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Address Line | 120 BECKERS LN
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City | MANITOU SPRINGS
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State | CO
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Zip | 80829-2441
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Country | US
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Telephone | 724-713-2639
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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 | IN PROCESS
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License Number State | CO
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