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General NPI Number Information
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NPI Number | 1437792330
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Entity Type | Organization
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Legal Business Name | ROCKET BALANCE, LLC
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Dates
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Enumeration Date | 10/23/2019
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Last Update Date | 06/18/2020
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Provider Practice Location Address
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Address Line | 5 N MAPLE AVE STE 100
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City | LA PLATA
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State | MD
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Zip | 20646-3744
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Country | US
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Telephone | 410-696-3669
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Fax | 410-695-3769
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Provider Business Mailing Address
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Address Line | 5 N MAPLE AVE STE 100
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City | LA PLATA
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State | MD
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Zip | 20646-3744
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Country | US
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Telephone | 410-696-3669
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Fax | 410-695-3769
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Authorized Official
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Title or Position | OWNER, AUDIOLOGIST
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Name | MONICA ALLGAUER
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Credential | AUD
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Telephone | 410-696-3669
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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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