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General NPI Number Information
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NPI Number | 1124128616
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Entity Type | Organization
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Legal Business Name | AUDIO-LOGIC HEARING SERVICES, INC.
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Dates
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Enumeration Date | 09/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2050 LARKIN AVE STE 102
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City | ELGIN
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State | IL
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Zip | 60123-5888
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Country | US
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Telephone | 847-888-2526
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Fax |
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Provider Business Mailing Address
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Address Line | 2050 LARKIN AVE STE 102
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City | ELGIN
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State | IL
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Zip | 60123-5888
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST/OWNER
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Name | MR. DONALD CHARLES BLAHUT
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Credential |
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Telephone | 847-888-2526
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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 | IL
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