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General NPI Number Information
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NPI Number | 1508272675
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Entity Type | Organization
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Legal Business Name | HEARSTONE AUDIOLOGY PC
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Dates
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Enumeration Date | 07/09/2014
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Last Update Date | 07/09/2014
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Provider Practice Location Address
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Address Line | 4764 PARK GRANADA SUITE 109
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City | CALABASAS
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State | CA
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Zip | 91302-1545
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Country | US
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Telephone | 818-222-4327
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Fax | 818-222-4328
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Provider Business Mailing Address
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Address Line | 4764 PARK GRANADA SUITE 109
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City | CALABASAS
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State | CA
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Zip | 91302-1545
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Country | US
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Telephone | 818-222-4327
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Fax | 818-222-4328
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Authorized Official
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Title or Position | AUDIOLOGIST/OWNER
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Name | MS. IRIS ELLEN STONE
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Credential | M.A., CCC-A
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Telephone | 818-222-4327
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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 | 2480
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License Number State | CA
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