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General NPI Number Information
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NPI Number | 1083439095
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Entity Type | Organization
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Legal Business Name | KNOX AUDIOLOGY CO.
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 10922 SPRING BLUFF WAY
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City | KNOXVILLE
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State | TN
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Zip | 37932-1793
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Country | US
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Telephone | 318-278-1209
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Fax |
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Provider Business Mailing Address
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Address Line | 10922 SPRING BLUFF WAY
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City | KNOXVILLE
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State | TN
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Zip | 37932-1793
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF AUDIOLOGY
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Name | DR. KALYN BRADFORD
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Credential | AU.D.
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Telephone | 318-278-1209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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