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General NPI Number Information
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NPI Number | 1659494136
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Entity Type | Organization
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Legal Business Name | AFFILIATED AUDIOLOGY CTR INC
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 01/28/2015
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Provider Practice Location Address
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Address Line | 10310 W MARKHAM ST SUITE 207
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City | LITTLE ROCK
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State | AR
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Zip | 72205-2175
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Country | US
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Telephone | 501-224-6910
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Fax | 501-224-4933
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Provider Business Mailing Address
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Address Line | 10310 W MARKHAM ST SUITE 207
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City | LITTLE ROCK
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State | AR
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Zip | 72205-2175
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Country | US
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Telephone | 501-224-6910
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Fax | 866-483-2873
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH BRYANT TURBEVILLE JR.
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Credential | PH.D.
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Telephone | 501-224-6910
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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 | 27
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License Number State | AR
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