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General NPI Number Information
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NPI Number | 1649660689
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Entity Type | Organization
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Legal Business Name | FAMILY AUDIOLOGY ASSOCIATES, INC.
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Dates
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Enumeration Date | 01/29/2015
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Last Update Date | 01/29/2015
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Provider Practice Location Address
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Address Line | 950 S MAIN ST SUITE 4
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City | CELINA
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State | OH
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Zip | 45822-2413
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Country | US
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Telephone | 419-584-2255
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Fax | 419-584-0808
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Provider Business Mailing Address
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Address Line | 950 S MAIN ST SUITE 4
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City | CELINA
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State | OH
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Zip | 45822-2413
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Country | US
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Telephone | 419-584-2255
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Fax | 419-584-0808
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Authorized Official
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Title or Position | CO-OWNER
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Name | ELLEN HUNTER
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Credential | AUD
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Telephone | 419-584-2255
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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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