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General NPI Number Information
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NPI Number | 1487674321
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Entity Type | Organization
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Legal Business Name | AUDIOLOGICAL REHABILITATIVE LABORATORY, INC
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 08/05/2014
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Provider Practice Location Address
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Address Line | 1614 MAHAN CENTER BLVD SUITE 102
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5474
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Country | US
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Telephone | 850-878-7228
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Fax | 850-877-5583
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Provider Business Mailing Address
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Address Line | 1614 MAHAN CENTER BLVD SUITE 102
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5474
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Country | US
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Telephone | 850-878-7228
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Fax | 850-877-5583
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Authorized Official
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Title or Position | AUDIOLOGIST/OWNER
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Name | MS. CATHERINE TURNER POPE
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Credential | M.S.-C.C.C.-A
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Telephone | 850-878-7228
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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 | AY430
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License Number State | FL
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