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General NPI Number Information
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NPI Number | 1710426663
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Entity Type | Organization
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Legal Business Name | AYA AUDIOLOGICAL CONSULTANTS, LLC
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 02/13/2017
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Provider Practice Location Address
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Address Line | 2300 GENOA BUSINESS PARK DR SUITE 130
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City | BRIGHTON
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State | MI
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Zip | 48114-7367
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Country | US
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Telephone | 248-225-2205
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Fax | 248-225-2209
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Provider Business Mailing Address
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Address Line | 11333 HAMBURG RD
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City | WHITMORE LAKE
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State | MI
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Zip | 48189-9306
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Country | US
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Telephone | 810-599-6637
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST/OWNER
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Name | DR. AMY ELIZABETH ARNOLD
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Credential | AU.D., CCC-A
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Telephone | 810-599-6637
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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 | 160100026
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License Number State | MI
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