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General NPI Number Information
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NPI Number | 1033095971
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Entity Type | Organization
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Legal Business Name | SOUTHERN KENTUCKY AUDIOLOGY
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 2501 CROSSINGS BLVD STE 225
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City | BOWLING GREEN
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State | KY
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Zip | 42104-5459
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Country | US
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Telephone | 270-791-6144
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 CROSSINGS BLVD STE 225
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City | BOWLING GREEN
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State | KY
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Zip | 42104-5459
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Country | US
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Telephone | 270-791-6144
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | CATHERINE HARSTON
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Credential | M.A., CCC-A
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Telephone | 270-791-6144
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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 |
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License Number State |
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