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General NPI Number Information
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NPI Number | 1598990160
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Entity Type | Organization
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Legal Business Name | MOUNTAIN VIEW AUDIOLOGY, LLC
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Dates
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Enumeration Date | 05/26/2009
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Last Update Date | 05/26/2009
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Provider Practice Location Address
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Address Line | 1171 E RANCHO VISTOSO BLVD SUITE 153
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City | ORO VALLEY
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State | AZ
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Zip | 85755-9107
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Country | US
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Telephone | 520-344-9322
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Fax | 520-344-9334
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Provider Business Mailing Address
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Address Line | 1171 E RANCHO VISTOSO BLVD SUITE 153
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City | ORO VALLEY
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State | AZ
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Zip | 85755-9107
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Country | US
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Telephone | 520-344-9322
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Fax | 520-344-9334
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Authorized Official
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Title or Position | FOUNDING MEMBER
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Name | RONALD L KELLEY
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Credential | AU.D.
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Telephone | 520-342-6678
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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 |
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License Number State |
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