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General NPI Number Information
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NPI Number | 1326193152
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Entity Type | Organization
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Legal Business Name | CENTER FOR HEARING & AUDITORY DISORDERS OF NAPLES, INC.
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 05/22/2012
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Provider Practice Location Address
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Address Line | 1000 TAMIAMI TRL N 403
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City | NAPLES
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State | FL
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Zip | 34102-5481
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Country | US
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Telephone | 239-434-0086
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Fax | 239-434-9029
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Provider Business Mailing Address
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Address Line | 1000 TAMIAMI TRL N 403
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City | NAPLES
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State | FL
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Zip | 34102-5481
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Country | US
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Telephone | 239-434-0086
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Fax | 239-434-9029
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TIMOTHY JOHN ROUPAS
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Credential | AU.D.
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Telephone | 239-434-0086
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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 | AY160
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License Number State | FL
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