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NPI Code Detail

MEDICARE: DR. VICTORIA LYNN HARRIS AU.D. DOCTOR OF AUDI

MEDICARE:  DR. VICTORIA LYNN HARRIS  AU.D. DOCTOR OF AUDI
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
1237600000XAudiologist-Hearing Aid Fitter001644NY

General Provider Information

NPI Number : 1598769556
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VICTORIA LYNN HARRIS AU.D. DOCTOR OF AUDI
Provider Business Mailing Address
First Line : PO BOX 406153
Second Line :
City : ATLANTA
State : GA
Zip : 30384-1876
Country : US
Telephone Number : 518-272-7323
Fax Number : 518-272-7243
Provider Business Practice Location Address
First Line : HEARUSA
Second Line : 2200 BURDETT AVE. , SUITE 105
City : TROY
State : NY
Zip : 12180
Country : US
Telephone Number : 518-272-7323
Fax Number : 518-272-7243
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 10/12/2011

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Directions to “ DR. VICTORIA LYNN HARRIS AU.D. DOCTOR OF AUDI” Practice Location

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