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General NPI Number Information
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NPI Number | 1730363714
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Entity Type | Organization
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Legal Business Name | HEARING & BALANCE ASSOCIATES, LLC
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Dates
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Enumeration Date | 12/26/2007
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Last Update Date | 03/12/2013
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Provider Practice Location Address
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Address Line | 1818 MICCOSUKEE COMMONS DRIVE
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City | TALLAHASSEE
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State | FL
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Zip | 32308
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Country | US
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Telephone | 850-553-4327
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Fax | 850-877-3084
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Provider Business Mailing Address
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Address Line | 1818 MICCOSUKEE COMMONS DRIVE
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City | TALLAHASSEE
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State | FL
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Zip | 32308
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Country | US
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Telephone | 850-553-4327
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Fax | 850-877-3084
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Authorized Official
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Title or Position | OWNER/AUDIOLOGIST
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Name | DR. JOHN HAROLD KOONZ
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Credential | AU.D.
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Telephone | 850-553-4327
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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 | AY623
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License Number State | FL
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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 | AY1237
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AUD003606
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AY1237
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License Number State | FL
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