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General NPI Number Information
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NPI Number | 1235303538
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Entity Type | Organization
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Legal Business Name | ADVANCED AUDIOLOGY, LLC
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 12775 ESCANABA DR SUITE 3
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City | DEWITT
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State | MI
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Zip | 48820-8615
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Country | US
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Telephone | 517-669-8080
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Fax | 517-669-8070
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Provider Business Mailing Address
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Address Line | 12775 ESCANABA DR SUITE 3
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City | DEWITT
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State | MI
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Zip | 48820-8615
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Country | US
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Telephone | 517-669-8080
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Fax | 517-669-8070
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | DR. LINDA K. WRIGHT
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Credential | AUD., CCC-A
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Telephone | 517-669-8080
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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 | 1601000153
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License Number State | MI
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