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General NPI Number Information
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NPI Number | 1497948855
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Entity Type | Individual
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Provider Name | ASHLEY PAIGE JORDAN PETERSON SCONZO AU.D.
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Gender | Female
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 06/29/2018
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Provider Practice Location Address
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Address Line | 11645 ANGUS RD STE B8
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City | AUSTIN
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State | TX
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Zip | 78759-4100
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Country | US
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Telephone | 512-258-2300
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Fax | 512-904-2294
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Provider Business Mailing Address
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Address Line | PO BOX 14742
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City | BELFAST
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State | ME
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Zip | 04915-4042
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Country | US
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Telephone | 512-258-2300
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Fax | 512-904-2294
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 4188
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 562
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 2136
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 80356
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License Number State | TX
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