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General NPI Number Information
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NPI Number | 1730549494
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Entity Type | Organization
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Legal Business Name | SOUND ON AUDIOLOGY, LLC
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Dates
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Enumeration Date | 02/24/2016
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Last Update Date | 02/24/2016
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Provider Practice Location Address
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Address Line | 11380 PROSPERITY FARMS RD 210 B
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-3474
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Country | US
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Telephone | 561-469-9846
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Fax | 561-469-9845
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Provider Business Mailing Address
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Address Line | 11380 PROSPERITY FARMS RD 210 B
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-3474
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Country | US
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Telephone | 561-469-9846
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Fax | 561-469-9845
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Authorized Official
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Title or Position | AMBR
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Name | MRS. JAMI L. LEVENTHAL
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Credential | MA, CCC.A, FAAA
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Telephone | 561-469-9846
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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 | AY911
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License Number State | FL
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