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Individual
POLLYANNA SUMANSKY
Active
Individual
POLLYANNA SUMANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002056A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000343054
ANTHEM
—
05
—
200060960
—
IN
01
—
P00818655
RAILROAD MEDICARE
IN
01
—
P00844264
RAILROAD MEDICARE
IN
Enumeration date
08/30/2006
Last updated
10/15/2010
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