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NPI 1104906353

NPI 1104906353 : DGS AUDIOLOGY INC : MARION, VA

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General NPI Number Information
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    NPI Number           |    1104906353
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    Entity Type          |    Organization 
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    Legal Business Name  |    DGS AUDIOLOGY INC 
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Dates
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    Enumeration Date     |    10/16/2006
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    Last Update Date     |    10/25/2007
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Provider Practice Location Address
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    Address Line         |    1048 TERRACE DR 
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    City                 |    MARION
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    State                |    VA
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    Zip                  |    24354-4138
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    Country              |    US
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    Telephone            |    276-783-1827
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    Fax                  |    276-783-2879
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Provider Business Mailing Address
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    Address Line         |    2121 ELECTRIC RD #102
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    City                 |    ROANOKE
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    State                |    VA
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    Zip                  |    24018-1974
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    Country              |    US
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    Telephone            |    540-774-5060
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    Fax                  |    540-774-8008
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DARLENE G SAUNDERS 
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    Credential           |    MS,CCCA, FAAA
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    Telephone            |    540-774-5060
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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       |    2201001085
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    License Number State |    VA
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