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NPI 1477368645

NPI 1477368645 : AUDIOLOGY SERVICES COMPANY USA, LLC : MERRILLVILLE, IN

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General NPI Number Information
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    NPI Number           |    1477368645
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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     |    02/12/2025
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    Last Update Date     |    02/12/2025
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Provider Practice Location Address
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    Address Line         |    1609 E 80TH AVE 
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    City                 |    MERRILLVILLE
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    State                |    IN
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    Zip                  |    46410-5737
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    Country              |    US
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    Telephone            |    219-738-2730
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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, REVENUE CYCLE & 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        |    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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