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General NPI Number Information
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NPI Number | 1114109436
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY AND HEARING ASSOCIATES
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Dates
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Enumeration Date | 11/28/2007
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Last Update Date | 03/19/2008
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Provider Practice Location Address
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Address Line | 8700 E MARKET ST SUITE 2
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City | WARREN
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State | OH
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Zip | 44484-2340
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Country | US
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Telephone | 330-372-4500
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Fax | 330-372-4540
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Provider Business Mailing Address
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Address Line | 8700 E MARKET ST SUITE 2
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City | WARREN
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State | OH
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Zip | 44484-2340
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Country | US
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Telephone | 330-372-4500
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Fax | 330-372-4540
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LARRY D. GIOVINAZZO
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Credential | AU.D.
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Telephone | 330-372-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | A1063
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | A1063
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License Number State | OH
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