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General NPI Number Information
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NPI Number | 1376387365
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Entity Type | Organization
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Legal Business Name | CENTER FOR ADVANCEMENT OF NEXTGEN DEAF
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Dates
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Enumeration Date | 06/24/2024
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 2004 AIRPORT RD SW STE 210
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5848
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Country | US
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Telephone | 256-489-2060
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Fax |
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Provider Business Mailing Address
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Address Line | 2004 AIRPORT RD SW STE 210
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5848
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Country | US
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Telephone | 256-489-2060
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. JESSICA H HISSAM
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Credential | DPT
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Telephone | 256-489-2060
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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 |
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License Number State |
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Taxonomy #2
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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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