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NPI Code Detail

MEDICARE: JOELLE TEASLEY AU.D.

MEDICARE: JOELLE TEASLEY AU.D.
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
1231H00000XAudiologistAY1881FL

General Provider Information

NPI Number : 1922417054
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOELLE TEASLEY AU.D.
Provider Business Mailing Address
First Line : 2421 TERESA CIR
Second Line : APT. E
City : TAMPA
State : FL
Zip : 33629-6165
Country : US
Telephone Number : 808-896-2899
Fax Number :
Provider Business Practice Location Address
First Line : 109 BEE ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29401-5703
Country : US
Telephone Number : 843-789-7666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2014
Last Update Date : 08/01/2014

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