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General NPI Number Information
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NPI Number | 1003208018
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Entity Type | Organization
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Legal Business Name | LINK AUDIOLOGY, LLC
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Dates
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Enumeration Date | 02/27/2015
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Last Update Date | 05/02/2024
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Provider Practice Location Address
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Address Line | 9576 RIDGETOP BLVD NW SUITE 103
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City | SILVERDALE
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State | WA
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Zip | 98383-8554
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Country | US
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Telephone | 360-551-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 9576 RIDGETOP BLVD NW SUITE 103
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City | SILVERDALE
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State | WA
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Zip | 98383-8554
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Country | US
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Telephone | 360-551-4800
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. EVAN CHARLES GROLLEY
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Credential | AU.D., CCC-A
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Telephone | 360-551-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | LD60281561
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License Number State | WA
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