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General NPI Number Information
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NPI Number | 1073163325
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Entity Type | Individual
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Provider Name | LEVI ASAY AU.D. BC-HIS
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Gender | Male
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Dates
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Enumeration Date | 09/18/2019
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Last Update Date | 06/12/2020
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Provider Practice Location Address
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Address Line | 1535 BLEISTEIN AVE
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City | CODY
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State | WY
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Zip | 82414-3806
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Country | US
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Telephone | 307-527-6475
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Fax | 307-527-6483
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Provider Business Mailing Address
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Address Line | 1535 BLEISTEIN AVE
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City | CODY
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State | WY
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Zip | 82414-3806
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Country | US
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Telephone | 307-527-6475
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Fax | 307-527-6483
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 209
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License Number State | WY
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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 | A-1051
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License Number State | WY
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