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General NPI Number Information
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NPI Number | 1063885648
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Entity Type | Organization
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Legal Business Name | KING AUDIOLOGY, LLC
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Dates
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Enumeration Date | 11/04/2015
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Last Update Date | 01/08/2019
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Provider Practice Location Address
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Address Line | 311 CONGRESS PKWY N SUITE 200
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City | ATHENS
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State | TN
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Zip | 37303-1699
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Country | US
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Telephone | 423-744-5944
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Fax |
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Provider Business Mailing Address
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Address Line | 311 CONGRESS PKWY N SUITE 200
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City | ATHENS
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State | TN
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Zip | 37303-1699
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Country | US
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Telephone | 423-745-6222
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Fax | 866-419-1447
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | DR. JENNIFER KING
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Credential | AUD
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Telephone | 423-244-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 1202
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License Number State | TN
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