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General NPI Number Information
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NPI Number | 1619714045
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY DISTRIBUTION, LLC
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Dates
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Enumeration Date | 07/12/2024
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 4000 MITCHELLVILLE RD STE B124
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City | BOWIE
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State | MD
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Zip | 20716-3189
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Country | US
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Telephone | 301-464-2036
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 200132
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City | DALLAS
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State | TX
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Zip | 75320-0359
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Country | US
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Telephone | 561-530-2149
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF INSURANCE CONTRACTING
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Name | MORGAN KLEIN
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Credential |
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Telephone | 561-678-3394
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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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