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General NPI Number Information
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NPI Number | 1740401116
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Entity Type | Organization
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Legal Business Name | PETER J. DORIAN, AUDIOLOGIST, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 08/24/2012
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Provider Practice Location Address
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Address Line | 5180 N FRESNO ST SUITE 102
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City | FRESNO
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State | CA
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Zip | 93710-6853
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Country | US
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Telephone | 559-224-1344
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Fax | 559-224-3814
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Provider Business Mailing Address
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Address Line | 5180 N FRESNO ST SUITE 102
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City | FRESNO
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State | CA
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Zip | 93710-6853
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Country | US
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Telephone | 559-224-1344
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Fax | 559-224-3814
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Authorized Official
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Title or Position | PRESIDENT, OWNER
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Name | MR. PETER JOHN DORIAN
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Credential | M.A.
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Telephone | 559-224-1344
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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 | AU244
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | HA1194
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License Number State | CA
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