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General NPI Number Information
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NPI Number | 1144618166
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Entity Type | Organization
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Legal Business Name | ANGELICA AUDIOLOGY, LLC
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Dates
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Enumeration Date | 12/29/2014
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 1000 W 4TH ST
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City | ROSWELL
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State | NM
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Zip | 88201-3038
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Country | US
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Telephone | 575-623-8474
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Fax | 575-623-8220
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Provider Business Mailing Address
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Address Line | 1000 W 4TH ST
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City | ROSWELL
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State | NM
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Zip | 88201-3038
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Country | US
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Telephone | 575-623-8474
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Fax | 575-623-8220
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Authorized Official
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Title or Position | OWNER/AUDIOLOGIST
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Name | DR. ANGELICA M RODRIGUEZ
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Credential | AU.D.
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Telephone | 575-623-8474
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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 | 4960
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License Number State | NM
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