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General NPI Number Information
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NPI Number | 1316761703
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Entity Type | Organization
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Legal Business Name | EARLOGICS INC.
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 100 ILLINOIS ST STE 200
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City | ST CHARLES
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State | IL
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Zip | 60174-1867
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Country | US
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Telephone | 847-301-4044
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Fax |
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Provider Business Mailing Address
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Address Line | 465 SHANNON PKWY
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City | ELGIN
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State | IL
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Zip | 60124-7877
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Country | US
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Telephone | 269-267-7181
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST/FOUNDER
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Name | PINAL KERAI
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Credential | AU.D.
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Telephone | 269-267-7181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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