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General NPI Number Information
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NPI Number | 1114086741
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY ASSOC OF WORCESTER
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 130 LINCOLN STREET
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City | WORCESTER
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State | MA
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Zip | 01605-2430
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Country | US
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Telephone | 508-792-9293
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Fax | 508-798-7989
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Provider Business Mailing Address
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Address Line | 130 LINCOLN STREET
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City | WORCESTER
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State | MA
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Zip | 01605-2430
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Country | US
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Telephone | 508-792-9293
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Fax | 508-798-7989
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARCIA S DEAN
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Credential | AUD FAAA
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Telephone | 508-792-9293
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 231HA2400X
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Taxonomy Name | Assistive Technology Practitioner Audiologist
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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 | 231HA2500X
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Taxonomy Name | Assistive Technology Supplier 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 | 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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