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General NPI Number Information
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NPI Number | 1326404237
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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 | 01/07/2016
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Last Update Date | 08/17/2016
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Provider Practice Location Address
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Address Line | 126 STONEHENGE DR
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City | CROSSVILLE
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State | TN
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Zip | 38558-6272
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Country | US
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Telephone | 931-484-6073
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1909
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City | CROSSVILLE
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State | TN
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Zip | 38558-1909
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRIMARY SHAREHOLDER/AUDIOLOGIST
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Name | DR. NICOLE ROBBINS
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Credential | AUD
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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 | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 1126
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License Number State | TN
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