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General NPI Number Information
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NPI Number | 1912169590
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Entity Type | Organization
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Legal Business Name | HEARING DIAGNOSTICS AND SOLUTIONS
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Dates
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Enumeration Date | 06/25/2008
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 4215 WOODRUFF RD
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City | COLUMBUS
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State | GA
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Zip | 31904-6889
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Country | US
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Telephone | 706-604-5332
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Fax | 706-565-4647
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Provider Business Mailing Address
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Address Line | 1157 LEAF BROOK DR
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City | MIDLAND
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State | GA
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Zip | 31820-5515
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Country | US
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Telephone | 706-604-5332
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Fax | 706-565-4647
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | DR. WILLIE D. DADE
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Credential | AU.D.
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Telephone | 706-587-8289
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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 | AUD003725
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License Number State | GA
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