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General NPI Number Information
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NPI Number | 1124827720
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Entity Type | Organization
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Legal Business Name | BREITLING AUDIOLOGY GROUP PC
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 3744 MT DIABLO BLVD STE 100
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City | LAFAYETTE
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State | CA
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Zip | 94549-3661
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Country | US
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Telephone | 925-262-4242
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Fax | 925-262-4255
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Provider Business Mailing Address
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Address Line | 3744 MT DIABLO BLVD STE 100
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City | LAFAYETTE
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State | CA
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Zip | 94549-3661
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Country | US
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Telephone | 925-262-4242
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Fax | 925-262-4255
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Authorized Official
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Title or Position | CEO
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Name | DR. ERIK MARTIN BREITLING
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Credential | AU.D.
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Telephone | 925-262-4230
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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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Taxonomy #2
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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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