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General NPI Number Information
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NPI Number | 1912025123
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Entity Type | Organization
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Legal Business Name | AUDIO RX HEARING SERVICES, INC.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 6333 WILSHIRE BLVD SUITE 309
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City | LOS ANGELES
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State | CA
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Zip | 90048-5702
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Country | US
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Telephone | 323-651-5107
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Fax | 323-651-4169
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Provider Business Mailing Address
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Address Line | 350 FOX RIDGE DR
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City | THOUSAND OAKS
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State | CA
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Zip | 91361-1308
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Country | US
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Telephone | 805-494-5129
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Fax | 805-494-5258
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Authorized Official
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Title or Position | CEO
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Name | MS. PATRICIA A. KEANE
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Credential | MA, CCC-A
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Telephone | 323-651-5107
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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 | AU954
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License Number State | CA
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