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General NPI Number Information
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NPI Number | 1225283534
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Entity Type | Organization
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Legal Business Name | AUDIO-AID RX
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Dates
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Enumeration Date | 12/01/2008
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Last Update Date | 12/01/2008
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Provider Practice Location Address
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Address Line | 6855 N. EASTMAN AVE.
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City | MIDLAND
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State | MI
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Zip | 48642
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Country | US
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Telephone | 989-835-1219
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Fax | 989-835-7198
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Provider Business Mailing Address
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Address Line | 6855 EASTMAN AVE
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City | MIDLAND
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State | MI
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Zip | 48642-7897
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Country | US
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Telephone | 989-835-1219
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Fax | 989-835-7198
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DEBRA LYNN WALL
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Credential | AU.D.
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Telephone | 989-835-1219
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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 | 1601000067
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License Number State | MI
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