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General NPI Number Information
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NPI Number | 1225574197
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Entity Type | Organization
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Legal Business Name | DR. TEAGUE AUD LLC
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Dates
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Enumeration Date | 01/16/2017
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 10766 MONTGOMERY RD
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City | CINCINNATI
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State | OH
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Zip | 45242-3213
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Country | US
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Telephone | 513-489-3300
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Fax | 513-489-3018
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Provider Business Mailing Address
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Address Line | 10766 MONTGOMERY RD
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City | CINCINNATI
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State | OH
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Zip | 45242-3213
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Country | US
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Telephone | 513-489-3300
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Fax | 513-489-3018
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Authorized Official
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Title or Position | OWNER/AUDIOLOGIST
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Name | DR. TIMOTHY JOHN TEAGUE
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Credential | AU.D.
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Telephone | 513-489-3300
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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 | A.01804
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License Number State | OH
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