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General NPI Number Information
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NPI Number | 1013305614
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY SERVICES COMPANY USA, LLC
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Dates
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Enumeration Date | 01/05/2015
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 1207 E GRAND ST
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City | ELIZABETH
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State | NJ
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Zip | 07201-2319
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Country | US
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Telephone | 908-354-6868
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Fax | 908-354-2359
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Provider Business Mailing Address
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Address Line | 1207 E GRAND ST
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City | ELIZABETH
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State | NJ
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Zip | 07201-2319
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Country | US
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Telephone | 908-354-6868
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Fax | 908-354-2359
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Authorized Official
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Title or Position | VP, REV CYCLE AND PAYER RELATIONS
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Name | BAHAR BAZMI
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Credential |
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Telephone | 412-260-1504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 25MG00072200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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