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General NPI Number Information
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NPI Number | 1477830487
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Entity Type | Organization
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Legal Business Name | INTEGRITY HEARING AND BALANCE LLC
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Dates
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Enumeration Date | 11/04/2011
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Last Update Date | 05/04/2012
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Provider Practice Location Address
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Address Line | 1401 N 1075 W SUITE 230
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City | FARMINGTON
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State | UT
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Zip | 84025-2745
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Country | US
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Telephone | 801-447-9456
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Fax | 801-447-9458
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Provider Business Mailing Address
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Address Line | 1401 N 1075 W SUITE 230
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City | FARMINGTON
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State | UT
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Zip | 84025-2745
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Country | US
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Telephone | 801-447-9456
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Fax | 801-447-9458
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Authorized Official
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Title or Position | OWNER/ DIRECTOR
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Name | CAROLINE C BJARNASON
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Credential | M.S.
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Telephone | 801-447-6456
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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 | 55420674101
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License Number State | UT
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