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General NPI Number Information
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NPI Number | 1609849942
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Entity Type | Organization
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Legal Business Name | L. DOERFLER AUDIOLOGY ASSOC. P.C.
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 433 FRYE FARM RD SUITE 5
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City | GREENSBURG
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State | PA
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Zip | 15601-6480
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Country | US
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Telephone | 724-539-3750
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Fax | 724-539-3751
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Provider Business Mailing Address
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Address Line | 433 FRYE FARM RD SUITE 5
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City | GREENSBURG
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State | PA
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Zip | 15601-6480
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Country | US
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Telephone | 724-539-3750
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Fax | 724-539-3751
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Authorized Official
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Title or Position | PRES/AUDIOLOGIST
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Name | PAUL RICHARD PLUCKER
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Credential | CCC-A,
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Telephone | 724-539-3750
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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 | D00549
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License Number State | PA
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