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General NPI Number Information
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NPI Number | 1275547655
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Entity Type | Organization
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Legal Business Name | ALEXANDRIA AUDIOLOGY SERVICES & DISCOUNT HEARING AIDS, INC.
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 06/06/2008
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Provider Practice Location Address
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Address Line | 1605 MURRAY ST SUITE 202
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City | ALEXANDRIA
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State | LA
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Zip | 71301-6890
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Country | US
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Telephone | 318-442-7303
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Fax | 318-442-7094
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Provider Business Mailing Address
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Address Line | 1605 MURRAY ST SUITE 202
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City | ALEXANDRIA
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State | LA
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Zip | 71301-6890
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Country | US
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Telephone | 318-442-7303
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Fax | 318-442-7094
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Authorized Official
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Title or Position | AUDIOLOGIST / PRESIDENT
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Name | MR. EDWARD CHARLES WILLS
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Credential | M.A., CCC-A, FAAA
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Telephone | 318-442-7303
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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 | 709
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License Number State | LA
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