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General NPI Number Information
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NPI Number | 1770752511
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY AND HEARING CENTER, LLC
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 08/26/2008
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Provider Practice Location Address
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Address Line | 65 W STREET RD SUITE B-104
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City | WARMINSTER
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State | PA
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Zip | 18974-3226
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Country | US
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Telephone | 215-672-4327
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Fax |
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Provider Business Mailing Address
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Address Line | 65 W STREET RD SUITE B-104
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City | WARMINSTER
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State | PA
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Zip | 18974-3226
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Country | US
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Telephone | 215-672-4327
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARYANN DESCH MCCULLOUGH
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Credential | AUD
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Telephone | 215-672-4327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | D0092300
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License Number State | PA
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