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General NPI Number Information
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NPI Number | 1083814727
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Entity Type | Organization
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Legal Business Name | SOUND BALANCE AUDIOLOGY, INC.
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 07/20/2007
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Provider Practice Location Address
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Address Line | 2420 VISTA WAY SUITE 205
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City | OCEANSIDE
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State | CA
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Zip | 92054-6190
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Country | US
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Telephone | 760-721-7417
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Fax |
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Provider Business Mailing Address
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Address Line | 2420 VISTA WAY SUITE 205
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City | OCEANSIDE
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State | CA
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Zip | 92054-6190
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Country | US
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Telephone | 760-721-7417
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VALERIE ANN MCGUIRE
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Credential | AU.D
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Telephone | 760-721-7417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AU2147
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License Number State | CA
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