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General NPI Number Information
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NPI Number | 1619014537
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Entity Type | Organization
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Legal Business Name | AVADA OF CENTRAL OHIO, INC.
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 141 S 11TH ST
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City | CAMBRIDGE
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State | OH
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Zip | 43725-2464
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Country | US
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Telephone | 740-439-6647
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Fax | 740-439-9303
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Provider Business Mailing Address
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Address Line | 141 S 11TH ST
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City | CAMBRIDGE
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State | OH
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Zip | 43725-2464
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Country | US
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Telephone | 740-439-6647
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Fax | 740-439-9303
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Authorized Official
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Title or Position | RIGIONAL DIRECTOR
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Name | STEPHEN D WILSON
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Credential |
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Telephone | 740-439-6647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A.01557
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 02814
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 2333
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A01130
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License Number State | OH
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