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General NPI Number Information
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NPI Number | 1154595882
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Entity Type | Organization
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Legal Business Name | MORRIS AUDIOLOGY INC.
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Dates
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Enumeration Date | 04/14/2008
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 3605 N STATE ROUTE 47 STE F
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City | MORRIS
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State | IL
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Zip | 60450-8218
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Country | US
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Telephone | 815-941-4700
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Fax | 915-941-0493
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Provider Business Mailing Address
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Address Line | 1802 DIVISION ST STE 509
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City | MORRIS
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State | IL
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Zip | 60450-3107
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Country | US
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Telephone | 815-941-4700
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Fax | 815-941-4700
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Authorized Official
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Title or Position | OWNER
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Name | BRENENE BRADY
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Credential | M.S. CCC A
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Telephone | 815-941-4700
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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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