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General NPI Number Information
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NPI Number | 1528246964
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Entity Type | Organization
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Legal Business Name | NEWPORT AUDIOLOGY CENTERS
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 02/07/2008
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Provider Practice Location Address
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Address Line | 1600 EAST FLORIDA AVE #312
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City | HEMET
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State | CA
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Zip | 92544
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Country | US
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Telephone | 951-652-9143
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 EAST FLORIDA AVE #312
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City | HEMET
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State | CA
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Zip | 92544
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Country | US
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Telephone | 951-652-9143
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Fax |
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Authorized Official
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Title or Position | AUDILOGIST
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Name | ROBERT DAVID MELTON
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Credential | M.A.
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Telephone | 800-782-8585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | AU 1140
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License Number State | CA
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