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General NPI Number Information
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NPI Number | 1720187107
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Entity Type | Individual
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Provider Name | LISA RENEE BEHRINGER AUD
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Gender | Female
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 7247 HANOVER PARKWAY SUITE A
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City | GREENBELT
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State | MD
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Zip | 20770
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Country | US
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Telephone | 443-295-7100
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Fax | 443-295-7555
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Provider Business Mailing Address
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Address Line | 135 W. DARES BEACH RD FREEDOM HEARING CENTER SUITE 102
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678
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Country | US
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Telephone | 443-295-7100
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 00721
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 00721
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License Number State | MD
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