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General NPI Number Information
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NPI Number | 1265637672
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY ASSOCIATES HEARING CENTER
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 101 MARGARET LN SUITE D
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City | GRASS VALLEY
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State | CA
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Zip | 95945-4207
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Country | US
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Telephone | 530-272-2247
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Fax | 530-272-4120
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Provider Business Mailing Address
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Address Line | 101 MARGARET LN SUITE D
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City | GRASS VALLEY
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State | CA
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Zip | 95945-4207
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Country | US
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Telephone | 530-272-2247
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Fax | 530-272-4120
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | KAREN COLEY BRIDGER
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Credential | M.A.
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Telephone | 530-272-2247
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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 | AU305
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License Number State | CA
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