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General NPI Number Information
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NPI Number | 1245994904
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Entity Type | Organization
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Legal Business Name | PREMIER AUDIOLOGY ASSOCIATES, LLC
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Dates
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Enumeration Date | 10/28/2021
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Last Update Date | 12/20/2021
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Provider Practice Location Address
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Address Line | 1713 MOUNT VERNON RD STE 4
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City | DUNWOODY
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State | GA
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Zip | 30338-4243
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Country | US
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Telephone | 770-574-4819
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Fax |
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Provider Business Mailing Address
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Address Line | 1713 MOUNT VERNON RD STE 4
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City | DUNWOODY
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State | GA
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Zip | 30338-4243
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. ANESHEIA PRINCE
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Credential | AUD
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Telephone | 770-256-3388
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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 |
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License Number State |
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