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General NPI Number Information
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NPI Number | 1760633705
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY SOLUTIONS
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 03/25/2009
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Provider Practice Location Address
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Address Line | 10 CHADWICK CT
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City | POOLER
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State | GA
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Zip | 31322-8274
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Country | US
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Telephone | 912-660-1683
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Fax | 912-920-4262
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Provider Business Mailing Address
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Address Line | PO BOX 1257
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City | POOLER
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State | GA
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Zip | 31322-1257
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Country | US
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Telephone | 912-660-1683
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Fax | 912-920-4262
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELIZABETH M ZOLLINGER
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Credential | AU.D.
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Telephone | 912-660-1683
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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 | AUD003691
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License Number State | GA
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