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General NPI Number Information
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NPI Number | 1184093262
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Entity Type | Organization
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Legal Business Name | ATLANTIC AUDIOLOGY, LLC
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Dates
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Enumeration Date | 09/18/2015
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 3840 S NOVA RD STE B1
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City | PORT ORANGE
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State | FL
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Zip | 32127-4244
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Country | US
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Telephone | 386-756-8225
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Fax | 386-767-0742
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Provider Business Mailing Address
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Address Line | 3840 S NOVA RD STE B1
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City | PORT ORANGE
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State | FL
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Zip | 32127-4244
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Country | US
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Telephone | 386-756-8225
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Fax | 386-767-0742
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Authorized Official
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Title or Position | OWNER
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Name | FORREST CADE SIMPSON
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Credential |
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Telephone | 936-776-7028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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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 | 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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