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General NPI Number Information
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NPI Number | 1134705767
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Entity Type | Organization
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Legal Business Name | PALM BEACH HEARING ASSOCIATES, PLLC
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 03/23/2021
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Provider Practice Location Address
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Address Line | 420 S STATE ROAD 7 STE 122
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City | WELLINGTON
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State | FL
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Zip | 33414-4304
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Country | US
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Telephone | 561-708-6247
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Fax | 561-567-0940
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Provider Business Mailing Address
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Address Line | 2401 PGA BLVD STE 128
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-3515
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Country | US
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Telephone | 561-500-3277
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | MAYA GURARIY
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Credential | AUD
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Telephone | 561-708-6247
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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 |
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