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General NPI Number Information
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NPI Number | 1194097915
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY SERVICES LLC
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Dates
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Enumeration Date | 02/09/2012
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Last Update Date | 02/09/2012
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Provider Practice Location Address
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Address Line | 201 PROSPECT AVE # 102
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City | HAGERSTOWN
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State | MD
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Zip | 21742-3204
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Country | US
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Telephone | 301-790-3300
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Fax | 888-878-5404
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Provider Business Mailing Address
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Address Line | 201 PROSPECT AVENUE #102
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City | HAGERSTOWN
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State | MD
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Zip | 21742
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Country | US
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Telephone | 301-790-3300
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Fax | 888-878-5404
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | KAREN A. HAMILTON
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Credential | MS, CCC-A
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Telephone | 301-790-3300
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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 | 00521
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License Number State | MD
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