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General NPI Number Information
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NPI Number | 1619128436
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Entity Type | Organization
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Legal Business Name | ANNAPOLIS AUDIOLOGY HEARING CENTER, INC.
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Dates
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Enumeration Date | 10/10/2008
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Last Update Date | 10/10/2008
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Provider Practice Location Address
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Address Line | 116 DEFENSE HWY SUITE 200
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7027
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Country | US
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Telephone | 443-837-6792
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Fax |
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Provider Business Mailing Address
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Address Line | 116 DEFENSE HWY SUITE 200
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7027
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Country | US
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Telephone | 443-837-6792
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUSAN R. HELLYER
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Credential | AU.D.
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Telephone | 443-837-6052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 01075
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License Number State | MD
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