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General NPI Number Information
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NPI Number | 1780907394
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Entity Type | Organization
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Legal Business Name | CASCADE AUDIOLOGY INCORPERATED
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Dates
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Enumeration Date | 03/10/2010
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Last Update Date | 03/10/2010
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Provider Practice Location Address
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Address Line | 16007 56TH AVENUE CT E SUITE 2
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City | PUYALLUP
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State | WA
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Zip | 98375-9004
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Country | US
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Telephone | 253-535-6386
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Fax |
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Provider Business Mailing Address
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Address Line | 16007 56TH AVENUE CT E SUITE 2
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City | PUYALLUP
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State | WA
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Zip | 98375-9004
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Country | US
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Telephone | 253-535-6386
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DENNIS TEMBREULL
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Credential |
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Telephone | 253-535-6386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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