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General NPI Number Information
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NPI Number | 1447684949
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Entity Type | Organization
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Legal Business Name | SMITH AUDIOLOGY CONSULTING, INC.
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Dates
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Enumeration Date | 09/03/2013
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 102 WESTERN AVE SUITE 106
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City | AKRON
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State | OH
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Zip | 44313-6315
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Country | US
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Telephone | 330-434-5101
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Fax | 330-434-7854
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Provider Business Mailing Address
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Address Line | 102 WESTERN AVE SUITE 106
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City | AKRON
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State | OH
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Zip | 44313-6315
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Country | US
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Telephone | 330-434-5101
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Fax | 330-434-7854
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRIAN SMITH
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Credential | AU.D.
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Telephone | 330-434-5101
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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 | 2205743
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License Number State | OH
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