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NPI 1245383421

NPI 1245383421 : AUDIOLOGY SERVICES COMPANY USA, LLC : ROSELAND, NJ

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General NPI Number Information
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    NPI Number           |    1245383421
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    Entity Type          |    Organization 
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    Legal Business Name  |    AUDIOLOGY SERVICES COMPANY USA, LLC 
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Dates
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    Enumeration Date     |    01/19/2007
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    Last Update Date     |    01/22/2025
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Provider Practice Location Address
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    Address Line         |    12 EISENHOWER PKWY STE 16 
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    City                 |    ROSELAND
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    State                |    NJ
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    Zip                  |    07068-1637
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    Country              |    US
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    Telephone            |    973-226-6700
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    Fax                  |    973-226-6722
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Provider Business Mailing Address
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    Address Line         |    2501 COTTONTAIL LANE 
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    City                 |    SOMERSET
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    State                |    NJ
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    Zip                  |    08873-5125
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    Country              |    US
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    Telephone            |    732-529-7120
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    Fax                  |    973-226-6700
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Authorized Official
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    Title or Position    |    VP, REV CYCLE AND PAYER RELATIONS
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    Name                 |     BAHAR  BAZMI 
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    Credential           |    
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    Telephone            |    412-260-1504
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QH0700X
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    Taxonomy Name        |    Hearing and Speech Clinic/Center
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    License Number       |    
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    License Number State |    
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