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General NPI Number Information
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NPI Number | 1447732649
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY SERVICES COMPANY USA, LLC
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Dates
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Enumeration Date | 09/04/2018
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 1855 RICHMOND AVE STE 101
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3912
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Country | US
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Telephone | 718-285-6309
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 COTTONTAIL LN
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City | SOMERSET
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State | NJ
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Zip | 08873-5125
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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 | VP, REV CYCLE AND PAYER RELATIONS
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Name | BAHAR BAZMI
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Credential |
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Telephone | 412-260-1504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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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 | 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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