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General NPI Number Information
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NPI Number | 1669663613
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY CENTER, INC.
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 08/06/2007
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Provider Practice Location Address
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Address Line | 1169 EBENEZER RD
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City | ROCK HILL
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State | SC
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Zip | 29732-3183
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Country | US
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Telephone | 803-327-1900
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Fax | 803-327-4146
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Provider Business Mailing Address
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Address Line | 1169 EBENEZER RD
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City | ROCK HILL
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State | SC
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Zip | 29732-3183
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Country | US
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Telephone | 803-327-1900
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Fax | 803-327-4146
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Authorized Official
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Title or Position | DOCTOR OF AUDIOLOGY
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Name | DR. JACQUELYN D NIEDRINGHAUS
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Credential | AU.D.
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Telephone | 803-327-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 457
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License Number State | SC
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