Basic Information
| Provider Information | |||||||||
| NPI: | 1295044006 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FRANCINI | ||||||||
| FirstName: | TAMARA | ||||||||
| MiddleName: | LAINE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | AU.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | WAYBRIGHT | ||||||||
| OtherFirstName: | TAMARA | ||||||||
| OtherMiddleName: | LAINE | ||||||||
| OtherNamePrefix: | DR. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | AU.D. | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 5400 TRANSPORTATION BLVD | ||||||||
| Address2: | SUITE 8 | ||||||||
| City: | GARFIELD HEIGHTS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441255381 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2166623373 | ||||||||
| FaxNumber: | 2166620624 | ||||||||
| Practice Location | |||||||||
| Address1: | 5400 TRANSPORTATION BLVD | ||||||||
| Address2: | SUITE 8 | ||||||||
| City: | GARFIELD HEIGHTS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441255381 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2166623373 | ||||||||
| FaxNumber: | 2166620624 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/28/2010 | ||||||||
| LastUpdateDate: | 02/17/2012 | ||||||||
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| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | AT006187 | PA | N | Speech, Language and Hearing Service Providers | Audiologist | 231H00000X | A01782 | OH | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.