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General NPI Number Information
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NPI Number | 1215836911
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Entity Type | Organization
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Legal Business Name | PREMIER AUDIOLOGY SERVICES
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 719 SLEATER KINNEY RD SE STE 124
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City | LACEY
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State | WA
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Zip | 98503-1138
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Country | US
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Telephone | 360-464-2795
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Fax |
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Provider Business Mailing Address
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Address Line | 719 SLEATER KINNEY RD SE STE 124
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City | LACEY
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State | WA
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Zip | 98503-1138
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Country | US
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Telephone | 360-464-2795
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CORY SCOTT
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Credential | AUD
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Telephone | 801-850-7727
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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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