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General NPI Number Information
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NPI Number | 1003088741
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Entity Type | Organization
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Legal Business Name | ARIZONA EAR & HEARING, LCC
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 21321 E OCOTILLO RD BLDG E. SUITE 111
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City | QUEEN CREEK
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State | AZ
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Zip | 85242-5996
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Country | US
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Telephone | 480-292-7100
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Fax | 480-306-6237
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Provider Business Mailing Address
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Address Line | 1302 E STRAWBERRY DR
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City | GILBERT
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State | AZ
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Zip | 85298-6897
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Country | US
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Telephone | 602-373-7920
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Fax | 480-306-6237
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Authorized Official
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Title or Position | OWNER/DOCTOR OF AUDIOLOGY
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Name | DR. JENNIFER ANN RATIGAN
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Credential | AU.D.
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Telephone | 602-373-7920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | DA2177
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License Number State | AZ
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