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General NPI Number Information
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NPI Number | 1033972849
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Entity Type | Organization
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Legal Business Name | MIDWEST AUDIOLOGY SPECIALISTS LLC
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 585 W CHERRY ST STE A
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City | NORTH LIBERTY
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State | IA
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Zip | 52317-9797
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Country | US
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Telephone | 319-249-6925
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Fax | 319-205-0625
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Provider Business Mailing Address
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Address Line | 585 W CHERRY ST STE A
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City | NORTH LIBERTY
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State | IA
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Zip | 52317-9849
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Country | US
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Telephone | 319-365-0005
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST/OWNER
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Name | TANYA VAN VOORST
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Credential |
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Telephone | 319-270-8229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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