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General NPI Number Information
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NPI Number | 1780013367
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Entity Type | Organization
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Legal Business Name | KNOX AUDIOLOGY LLC
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Dates
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Enumeration Date | 11/05/2013
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Last Update Date | 06/30/2021
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Provider Practice Location Address
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Address Line | 108 WESTERN AVE
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City | SUFFOLK
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State | VA
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Zip | 23434-4434
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Country | US
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Telephone | 757-774-8801
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Fax | 757-539-0989
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Provider Business Mailing Address
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Address Line | 108 WESTERN AVE
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City | SUFFOLK
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State | VA
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Zip | 23434-4434
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Country | US
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Telephone | 757-774-8801
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Fax | 757-539-0989
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Authorized Official
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Title or Position | MEMBER/AUDIOLOGIST
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Name | DR. CARRIE ANN KNOX
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Credential | AU.D.
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Telephone | 757-774-8801
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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 | 2201001407
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License Number State | VA
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