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General NPI Number Information
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NPI Number | 1316196355
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY ASSOCIATES OF TENNESSEE, INC.
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Dates
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Enumeration Date | 09/15/2008
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Last Update Date | 10/13/2008
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Provider Practice Location Address
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Address Line | 44 PEAVINE PLZ STE 103
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City | CROSSVILLE
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State | TN
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Zip | 38571-7936
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Country | US
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Telephone | 931-484-6073
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Fax | 931-484-6949
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Provider Business Mailing Address
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Address Line | 44 PEAVINE PLZ STE 103
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City | CROSSVILLE
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State | TN
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Zip | 38571-7936
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Country | US
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Telephone | 931-484-6073
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Fax | 931-484-6949
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Authorized Official
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Title or Position | AUDIOLOGIST / OWNER
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Name | LEIGH COWAN
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Credential | M.A., CCC-A
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Telephone | 931-484-6073
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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 | 0000001111
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License Number State | TN
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