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General NPI Number Information
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NPI Number | 1073795944
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Entity Type | Organization
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Legal Business Name | SOUTHEAST KENTUCKY AUDIOLOGY SERVICES INC.
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 200 ALLISON BLVD
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City | CORBIN
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State | KY
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Zip | 40701-7964
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Country | US
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Telephone | 606-528-9993
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Fax | 606-528-5553
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Provider Business Mailing Address
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Address Line | 200 ALLISON BLVD
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City | CORBIN
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State | KY
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Zip | 40701-7964
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Country | US
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Telephone | 606-528-9993
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Fax | 606-528-5553
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | ELIZABETH ROGERS
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Credential |
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Telephone | 606-528-9993
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 00380
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License Number State | KY
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Taxonomy #7
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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