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General NPI Number Information
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NPI Number | 1033251459
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Entity Type | Organization
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Legal Business Name | SOUND ADVICE AUDIOLOGY
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 260 WESTERN AVE
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-2432
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Country | US
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Telephone | 207-828-9590
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Fax | 207-828-1049
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Provider Business Mailing Address
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Address Line | 260 WESTERN AVE
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-2432
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Country | US
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Telephone | 207-828-9590
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Fax | 207-828-1049
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Authorized Official
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Title or Position | PRESIDENT AUDIOLOGIST
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Name | MR. DALE T LALONE
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Credential | M.S. CCC-A
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Telephone | 207-828-9590
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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 | AP159
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License Number State | ME
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