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General NPI Number Information
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NPI Number | 1316282429
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Entity Type | Organization
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Legal Business Name | HOLLAND AUDIOLOGY, PLLC
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Dates
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Enumeration Date | 11/29/2012
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Last Update Date | 11/29/2012
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Provider Practice Location Address
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Address Line | 399 E 32ND ST SUITE 70
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City | HOLLAND
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State | MI
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Zip | 49423-5518
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Country | US
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Telephone | 616-392-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 399 E 32ND ST SUITE 70
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City | HOLLAND
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State | MI
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Zip | 49423-5518
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Country | US
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Telephone | 616-392-2222
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STYLIANOS G DOKIANAKIS
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Credential | AU.D.
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Telephone | 616-392-2222
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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 | 1601000550
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License Number State | MI
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