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General NPI Number Information
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NPI Number | 1124823414
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY DISTRIBUTION, LLC
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 240 YOUNG AVENUE
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City | MOORESTOWN
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State | NJ
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Zip | 08057
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Country | US
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Telephone | 856-222-0383
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 200132
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City | DALLAS
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State | TX
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Zip | 75320-0132
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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 | DIRECTOR OF INSURANCE
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Name | MORGAN KLEIN
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Credential |
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Telephone | 561-678-3394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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