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Individual
MRS. ANNA MARIE TARAVELLA
Active
Individual
MRS. ANNA MARIE TARAVELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.000942
IL
237600000X
Audiologist-Hearing Aid Fitter
147.000942
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL2613
MEDICARE GROUP PTAN
IL
Enumeration date
09/27/2006
Last updated
11/25/2009
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