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General NPI Number Information
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NPI Number | 1396892568
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Entity Type | Organization
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Legal Business Name | CENTRAL COAST AUDIOLOGY INCORPORATED
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 917 PACIFIC ST
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City | MONTEREY
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State | CA
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Zip | 93940-2912
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Country | US
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Telephone | 831-643-1600
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Fax | 831-643-1700
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Provider Business Mailing Address
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Address Line | 307 MAIN ST STE 240
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City | SALINAS
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State | CA
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Zip | 93901-2705
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Country | US
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Telephone | 831-449-1600
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Fax | 831-449-1661
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT ALEXANDER TYBOR
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Credential |
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Telephone | 831-449-1600
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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 | AU1595
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | HA3460
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License Number State | CA
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