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General NPI Number Information
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NPI Number | 1902020894
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Entity Type | Organization
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Legal Business Name | FITZGIBBONS AND ASSOCIATES
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 1776 YGNACIO VALLEY ROAD SUITE110
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City | WALNUT CREEK
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State | CA
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Zip | 94598
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Country | US
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Telephone | 925-933-2699
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Fax | 925-933-2797
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Provider Business Mailing Address
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Address Line | 1776 YGNACIO VALLEY ROAD SUITE110
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City | WALNUT CREEK
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State | CA
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Zip | 94598
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Country | US
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Telephone | 925-933-2699
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Fax | 925-933-2797
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Authorized Official
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Title or Position | AUDIOLOGIST/TREASURER
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Name | MR. GREGORY ALAN FITZGIBBONS
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Credential | M.A. CCC-A
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Telephone | 925-933-2699
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number |
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License Number State |
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