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General NPI Number Information
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NPI Number | 1992747083
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Entity Type | Individual
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Provider Name | KIMBERLY D. KRANTZ JENNINGS AU.D.
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Gender | Female
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 10/16/2013
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Provider Practice Location Address
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Address Line | 1860 EL CAMINO REAL SUITE 304
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City | BURLINGAME
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State | CA
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Zip | 94010-3127
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Country | US
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Telephone | 650-477-9794
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Fax |
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Provider Business Mailing Address
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Address Line | 1860 EL CAMINO REAL SUITE 304
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City | BURLINGAME
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State | CA
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Zip | 94010-3127
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Country | US
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Telephone | 650-477-9794
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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 | AU2330
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | HA 7034
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License Number State | CA
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