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General NPI Number Information
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NPI Number | 1396976536
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY CLINIC OF NORTHWEST OHIO, LTD.
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Dates
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Enumeration Date | 08/06/2009
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Last Update Date | 08/06/2009
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Provider Practice Location Address
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Address Line | 1411 N SCOTT ST SUITE B
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City | NAPOLEON
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State | OH
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Zip | 43545-1025
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Country | US
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Telephone | 419-592-0338
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Fax |
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Provider Business Mailing Address
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Address Line | 1411 N SCOTT ST SUITE B
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City | NAPOLEON
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State | OH
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Zip | 43545-1025
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Country | US
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Telephone | 419-592-0338
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF AUDIOLOGY/ OWNER
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Name | DR. CYNTHIA ANN SONNENBERG
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Credential | AU.D.
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Telephone | 419-969-0865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | A-01161
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License Number State | OH
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