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General NPI Number Information
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NPI Number | 1639053002
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Entity Type | Organization
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Legal Business Name | MOUNTAIN AUDIOLOGY, INC.
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 217-10 MAXHAM MEADOW WAY STE 3B
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City | WOODSTOCK
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State | VT
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Zip | 05091-9795
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Country | US
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Telephone | 802-432-3021
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Fax |
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Provider Business Mailing Address
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Address Line | 217-10 MAXHAM MEADOW WAY STE 3B
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City | WOODSTOCK
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State | VT
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Zip | 05091-9795
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Country | US
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Telephone | 802-432-3021
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHERINE J LOWKES
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Credential | AU.D.
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Telephone | 802-345-0692
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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 |
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License Number State |
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