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General NPI Number Information
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NPI Number | 1275615445
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY CENTER INC.
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1801 19TH AVE SW
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City | WILLMAR
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State | MN
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Zip | 56201-4946
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Country | US
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Telephone | 320-214-7256
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Fax | 320-214-7866
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Provider Business Mailing Address
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Address Line | 1801 19TH AVE SW
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City | WILLMAR
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State | MN
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Zip | 56201-4946
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Country | US
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Telephone | 320-214-7256
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Fax | 320-214-7866
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DEB ALLEN
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Credential |
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Telephone | 320-214-7256
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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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