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General NPI Number Information
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NPI Number | 1710879051
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Entity Type | Organization
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Legal Business Name | LAROSE AUDIOLOGY LLC
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 2945 RODEO PARK DR E UNIT 1A
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City | SANTA FE
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State | NM
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Zip | 87505-6312
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Country | US
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Telephone | 505-297-9574
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Fax |
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Provider Business Mailing Address
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Address Line | 58 CARSON VALLEY WAY
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City | SANTA FE
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State | NM
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Zip | 87508-1443
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Country | US
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Telephone | 505-297-9574
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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 | ROGER WALTER LAROSE
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Credential | M.A.
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Telephone | 505-297-9574
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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 |
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License Number State |
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