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General NPI Number Information
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NPI Number | 1730487018
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Entity Type | Organization
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Legal Business Name | RANDA MANSOUR SHOUSHER INC
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Dates
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Enumeration Date | 03/10/2011
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Last Update Date | 08/05/2020
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Provider Practice Location Address
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Address Line | 1125 HOSPITAL DR STE 50
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City | TOLEDO
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State | OH
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Zip | 43614-8001
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Country | US
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Telephone | 419-383-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 HOSPITAL DR STE 50
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City | TOLEDO
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State | OH
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Zip | 43614-8001
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Country | US
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Telephone | 419-383-4012
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Fax | 419-383-6126
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Authorized Official
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Title or Position | DOCTOR OF AUDIOLOGY
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Name | DR. RANDA MANSOUR SHOUSHER
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Credential | AUD
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Telephone | 419-383-4012
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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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 |
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License Number State |
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