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General NPI Number Information
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NPI Number | 1174010276
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Entity Type | Individual
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Provider Name | ROGER LEE AU.D.
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Gender | Male
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Dates
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Enumeration Date | 04/16/2018
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Last Update Date | 03/15/2022
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Provider Practice Location Address
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Address Line | 8600 SNOWDEN RIVER PKWY #309
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City | COLUMBIA
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State | MD
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Zip | 21045
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Country | US
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Telephone | 877-361-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 8600 SNOWDEN RIVER PKWY STE 309
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City | COLUMBIA
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State | MD
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Zip | 21045-1986
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number |
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License Number State |
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Taxonomy #3
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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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