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General NPI Number Information
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NPI Number | 1245287036
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Entity Type | Organization
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Legal Business Name | AUDITORY VENTURES LLC
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1875 PROFESSIONAL PARK CIR
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4506
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Country | US
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Telephone | 850-553-4327
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Fax | 850-877-3084
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Provider Business Mailing Address
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Address Line | 1875 PROFESSIONAL PARK CIR
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4506
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Country | US
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Telephone | 850-553-4327
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Fax | 850-877-3084
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | DR. RICHARD DEAN WRIGHT
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Credential | AUD
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Telephone | 850-553-4327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | AY623 AND AY 1237
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License Number State | FL
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