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General NPI Number Information
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NPI Number | 1639471675
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Entity Type | Organization
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Legal Business Name | ARIZONA EAR AND HEARING
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Dates
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Enumeration Date | 11/24/2010
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Last Update Date | 11/24/2010
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Provider Practice Location Address
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Address Line | 550 E 32ND ST STE 1
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City | YUMA
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State | AZ
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Zip | 85365-3431
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Country | US
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Telephone | 480-292-7100
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Fax | 480-306-6237
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Provider Business Mailing Address
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Address Line | 21321 E OCOTILLO RD STE 111
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-5993
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Country | US
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Telephone | 480-292-7100
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Fax | 480-306-6237
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Authorized Official
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Title or Position | DOCTOR OF AUDIOLOGY
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Name | DR. JENNIFER ANN RATIGAN
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Credential | AU.D
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Telephone | 480-292-7100
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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 | DA2177
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License Number State | AZ
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