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General NPI Number Information
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NPI Number | 1619786993
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Entity Type | Organization
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Legal Business Name | STASEK AUDIOLOGY PC
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 1045 E VALLEY PKWY
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City | ESCONDIDO
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State | CA
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Zip | 92025-4618
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Country | US
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Telephone | 760-489-6901
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Fax |
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Provider Business Mailing Address
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Address Line | 1045 E VALLEY PKWY
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City | ESCONDIDO
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State | CA
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Zip | 92025-4618
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Country | US
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Telephone | 760-489-6901
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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. COLE C STASEK
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Credential | AU.D.
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Telephone | 586-945-6694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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