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General NPI Number Information
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NPI Number | 1649641887
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Entity Type | Organization
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Legal Business Name | UNIVERSITY AUDIOLOGIC INC.
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Dates
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Enumeration Date | 10/14/2015
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 1325 HOWE AVE SUITE 101
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City | SACRAMENTO
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State | CA
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Zip | 95825-3364
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Country | US
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Telephone | 916-927-3137
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Fax |
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Provider Business Mailing Address
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Address Line | 1325 HOWE AVE SUITE 101
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City | SACRAMENTO
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State | CA
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Zip | 95825-3364
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Country | US
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Telephone | 916-927-3137
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. DEBORAH RENEE POWELL
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Credential | M.S.
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Telephone | 91692731374737
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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 | AU1088
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License Number State | CA
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