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General NPI Number Information
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NPI Number | 1417772815
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Entity Type | Organization
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Legal Business Name | HEARING ZONE AUDIOLOGY INC
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 2314 CENTRAL AVE
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City | ALAMEDA
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State | CA
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Zip | 94501-4514
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Country | US
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Telephone | 510-865-8113
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Fax | 510-865-8115
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Provider Business Mailing Address
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Address Line | 2314 CENTRAL AVE
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City | ALAMEDA
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State | CA
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Zip | 94501-4514
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Country | US
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Telephone | 510-865-8113
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Fax | 510-865-8115
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Authorized Official
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Title or Position | PRESIDENT / AUDIOLOGIST
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Name | MR. RAYMOND GARR CROOKSTON
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Credential | AU.D.
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Telephone | 510-865-8113
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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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