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General NPI Number Information
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NPI Number | 1598769556
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Entity Type | Individual
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Provider Name | VICTORIA LYNN HARRIS AU.D. DOCTOR OF AUDI
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Gender | Female
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Dates
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Enumeration Date | 06/08/2005
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Last Update Date | 10/12/2011
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Provider Practice Location Address
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Address Line | HEARUSA 2200 BURDETT AVE. , SUITE 105
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City | TROY
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State | NY
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Zip | 12180
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Country | US
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Telephone | 518-272-7323
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Fax | 518-272-7243
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Provider Business Mailing Address
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Address Line | PO BOX 406153
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City | ATLANTA
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State | GA
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Zip | 30384-1876
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Country | US
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Telephone | 518-272-7323
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Fax | 518-272-7243
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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 | 001644
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License Number State | NY
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