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General NPI Number Information
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NPI Number | 1215663935
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Entity Type | Organization
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Legal Business Name | WEST AUDIOLOGY CENTER, LLC
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Dates
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Enumeration Date | 07/26/2022
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Last Update Date | 07/26/2022
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Provider Practice Location Address
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Address Line | CARR. #2 KM 164.5 INTERIOR PLAZA MONSERRATE SHOPPING CENTER B-1
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City | HORMIGUEROS
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State | PR
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Zip | 00660
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Country | US
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Telephone | 787-393-2816
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 437
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City | CABO ROJO
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State | PR
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Zip | 00623-0437
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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 | PRESIDENTA
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Name | DR. MELISSA COLLADO MERCADO
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Credential | AUD
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Telephone | 787-393-2816
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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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