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General NPI Number Information
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NPI Number | 1023776200
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Entity Type | Organization
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Legal Business Name | NESBITT AUDIOLOGY, INC
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Dates
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Enumeration Date | 12/03/2021
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Last Update Date | 12/03/2021
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Provider Practice Location Address
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Address Line | 4407 MANCHESTER AVE STE 108
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City | ENCINITAS
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State | CA
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Zip | 92024-4941
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Country | US
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Telephone | 760-452-2140
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Fax | 760-452-2142
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Provider Business Mailing Address
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Address Line | 4407 MANCHESTER AVE STE 108
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City | ENCINITAS
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State | CA
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Zip | 92024-4941
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Country | US
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Telephone | 760-452-2140
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Fax | 760-452-2142
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MATTHEW R NESBITT
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Credential | FAA
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Telephone | 760-452-2140
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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 |
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License Number State |
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