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General NPI Number Information
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NPI Number | 1134314305
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Entity Type | Organization
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Legal Business Name | AUDIO-LOGIC, PC
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Dates
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Enumeration Date | 09/11/2007
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Last Update Date | 11/12/2009
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Provider Practice Location Address
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Address Line | 3763 39TH AVE SUITE 300
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City | COLUMBUS
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State | NE
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Zip | 68601-4504
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Country | US
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Telephone | 402-564-9198
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Fax | 402-564-9821
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Provider Business Mailing Address
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Address Line | 3763 39TH AVE SUITE 300
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City | COLUMBUS
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State | NE
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Zip | 68601-4504
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Country | US
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Telephone | 402-564-9198
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Fax | 402-564-9821
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | MRS. NORA L FUCHS
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Credential | AUD, CCC-A
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Telephone | 402-564-9198
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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 | 96
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License Number State | NE
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