MEDICARE: D'AURORA HEARING AND AUDIOLOGY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332S00000X	Hearing Aid Equipment	D01160	PA
2	332S00000X	Hearing Aid Equipment	AT000525L	PA

General Provider Information

NPI Number	:	1417360876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D'AURORA HEARING AND AUDIOLOGY, LLC

Provider Business Mailing Address
First Line	:	8279 ROUTE 22
Second Line	:	SUITE 11
City	:	NEW ALEXANDRIA
State	:	PA
Zip	:	15670-3155
Country	:	US
Telephone Number	:	724-668-5091
Fax Number	:	724-668-5092

Provider Business Practice Location Address
First Line	:	8279 ROUTE 22
Second Line	:	SUITE 11
City	:	NEW ALEXANDRIA
State	:	PA
Zip	:	15670-3155
Country	:	US
Telephone Number	:	724-668-5091
Fax Number	:	724-668-5092

Authorized Official
Title or Position	:	AUDIOLOGIST
Name	:	CAROLINE R D'AURORA
Credential	:	M.A., CCC-A
Telephone Number	:	724-668-5091

Provider Enumeration Date	:	06/03/2014
Last Update Date	:	06/03/2014

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