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General NPI Number Information
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NPI Number | 1184430027
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Entity Type | Individual
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Provider Name | GARY DORF AU.D DR.OF AUDIOLOGY
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Gender | Male
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 260 NEWPORT CENTER DR STE 415
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7520
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Country | US
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Telephone | 949-478-1254
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Fax |
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Provider Business Mailing Address
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Address Line | 3735 BLUE KY
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City | CORONA DEL MAR
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State | CA
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Zip | 92625-1203
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Country | US
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Telephone | 949-632-8223
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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 | 538
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License Number State | CA
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