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NPI 1376608786

NPI 1376608786 : ABEL AUDIOLOGY ASSOCIATES & MUSICIANS HEARING CENTER INC : PEMBROKE PINES, FL

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General NPI Number Information
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    NPI Number           |    1376608786
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    Entity Type          |    Organization 
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    Legal Business Name  |    ABEL AUDIOLOGY ASSOCIATES & MUSICIANS HEARING CENTER INC 
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Dates
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    Enumeration Date     |    12/26/2006
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    Last Update Date     |    10/20/2016
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Provider Practice Location Address
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    Address Line         |    2301 N UNIVERSITY DR SUITE 110
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    City                 |    PEMBROKE PINES
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    State                |    FL
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    Zip                  |    33024-3617
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    Country              |    US
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    Telephone            |    954-435-9779
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    Fax                  |    954-450-5375
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Provider Business Mailing Address
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    Address Line         |    2301 N UNIVERSITY DR SUITE 110
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    City                 |    PEMBROKE PINES
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    State                |    FL
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    Zip                  |    33024-3617
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    Country              |    US
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    Telephone            |    954-435-9779
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    Fax                  |    954-450-5375
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    DR. PAULA JODI GOODMAN-LIEBESKIND 
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    Credential           |    AUD
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    Telephone            |    954-435-9779
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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       |    AY1075
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    License Number State |    FL
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