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General NPI Number Information
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NPI Number | 1821749532
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY ASSOCIATES OF REDDING PC
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Dates
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Enumeration Date | 01/13/2022
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 3328 CHURN CREEK RD STE A
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City | REDDING
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State | CA
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Zip | 96002-2535
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Country | US
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Telephone | 530-221-7380
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Fax | 530-221-7319
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Provider Business Mailing Address
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Address Line | 3328 CHURN CREEK RD STE A
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City | REDDING
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State | CA
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Zip | 96002-2535
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Country | US
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Telephone | 530-221-7380
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Fax | 530-221-7319
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Authorized Official
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Title or Position | AUDIOLOGIST/OWNER
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Name | BRENNA MELVIN
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Credential | AU.D.
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Telephone | 530-356-4518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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