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General NPI Number Information
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NPI Number | 1083645543
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Entity Type | Organization
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Legal Business Name | CERTIFIED AUDIOLOGY ASSOCIATES
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 222 NEW RD SUITE 301
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City | LINWOOD
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State | NJ
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Zip | 08221-1299
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Country | US
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Telephone | 609-926-0700
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Fax | 609-926-4870
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Provider Business Mailing Address
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Address Line | 222 NEW ROAD SUITE 301
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City | LINWOOD
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State | NJ
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Zip | 08221-1299
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Country | US
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Telephone | 609-926-0700
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Fax | 609-926-4870
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Authorized Official
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Title or Position | OWNER/AUDIOLOGIST/HEARING AID DISP
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Name | DR. DAVID R WEESNER
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Credential | AU.D.
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Telephone | 609-926-0700
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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 | 25MG00064200
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License Number State | NJ
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