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General NPI Number Information
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NPI Number | 1801012786
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Entity Type | Organization
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Legal Business Name | AUDIOGENIC INC
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 24310 MOULTON PKWY
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City | LAGUNA WOODS
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State | CA
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Zip | 92637-3306
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Country | US
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Telephone | 949-830-5330
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Fax | 949-830-6926
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Provider Business Mailing Address
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Address Line | 24310 MOULTON PKWY
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City | LAGUNA WOODS
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State | CA
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Zip | 92637-3306
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Country | US
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Telephone | 949-830-5330
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Fax | 949-830-6926
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | MR. STUART B SPENCER SR.
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Credential | DISPENSER
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Telephone | 949-830-5330
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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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