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General NPI Number Information
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NPI Number | 1801102645
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Entity Type | Organization
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Legal Business Name | NOSOMA AUDIOLOGY, LLC
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Dates
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Enumeration Date | 08/30/2010
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Last Update Date | 08/30/2010
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Provider Practice Location Address
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Address Line | 2902 GINNALA DR STE 3
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City | LOVELAND
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State | CO
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Zip | 80538-7818
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Country | US
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Telephone | 970-593-1509
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Fax | 970-593-6810
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Provider Business Mailing Address
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Address Line | 2902 GINNALA DR STE 3
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City | LOVELAND
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State | CO
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Zip | 80538-7818
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Country | US
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Telephone | 970-593-1509
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Fax | 970-593-6810
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | MS. CYNTHIA SUE VIGIL
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Credential | M.A.
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Telephone | 970-593-1509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231HA2400X
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Taxonomy Name | Assistive Technology Practitioner Audiologist
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License Number | 461
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 231HA2500X
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Taxonomy Name | Assistive Technology Supplier Audiologist
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License Number | 461
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 461
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 461
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License Number State | CO
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