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General NPI Number Information
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NPI Number | 1326296476
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Entity Type | Organization
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Legal Business Name | NEWPORT AUDIOLOGY CENTERS
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 1550 W ROSEDALE ST SUITE 208
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City | FORT WORTH
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State | TX
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Zip | 76104-7438
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Country | US
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Telephone | 800-675-5485
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Fax |
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Provider Business Mailing Address
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Address Line | 5990 GREENWOOD PLAZA BLVD SUITE 120
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4704
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Country | US
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Telephone | 800-675-5485
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | DR. EVELYN MARIE WILLIAMS
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Credential | AU.D., CCC-A
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Telephone | 18006755485
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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 | DA5932
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 80166
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License Number State | TX
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