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General NPI Number Information
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NPI Number | 1407492515
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Entity Type | Organization
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Legal Business Name | AINSWORTH AUDIOLOGY & HEARING AIDS, LLC
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Dates
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Enumeration Date | 11/24/2019
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Last Update Date | 11/24/2019
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Provider Practice Location Address
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Address Line | 11903 COURSEY BLVD STE B
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City | BATON ROUGE
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State | LA
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Zip | 70816-4662
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Country | US
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Telephone | 225-769-9530
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Fax |
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Provider Business Mailing Address
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Address Line | 11903 COURSEY BLVD STE B
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City | BATON ROUGE
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State | LA
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Zip | 70816-4662
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Country | US
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Telephone | 225-769-9530
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | KELLEY AINSWORTH POWELL
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Credential | MCD
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Telephone | 225-572-4999
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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