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General NPI Number Information
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NPI Number | 1427559111
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Entity Type | Organization
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Legal Business Name | BREN-X AUDITORY SOLUTIONS LLC
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Dates
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Enumeration Date | 02/27/2018
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 201 N UNION ST STE 110
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2663
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Country | US
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Telephone | 202-271-3936
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Fax |
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Provider Business Mailing Address
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Address Line | 2253 WELSH DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-6930
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. LETICIA CLAYTOR-HARDY
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Credential | AU. D.
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Telephone | 202-271-3936
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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 | 2201001417
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License Number State | VA
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