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General NPI Number Information
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NPI Number | 1497548150
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Entity Type | Individual
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Provider Name | ARIANNA BASTYS AUD
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Gender | Female
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 5620 TARA BLVD STE 103
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City | BRADENTON
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State | FL
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Zip | 34203-8865
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Country | US
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Telephone | 941-316-0406
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Fax |
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Provider Business Mailing Address
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Address Line | 5350 DESOTO RD APT 1308
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City | SARASOTA
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State | FL
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Zip | 34235-2715
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Country | US
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Telephone | 708-691-7853
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | AY2930
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License Number State | FL
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