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General NPI Number Information
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NPI Number | 1922001643
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Entity Type | Individual
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Provider Name | BRIAN KEITH ERGLE AU.D.
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Gender | Male
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 245 CAHABA VALLEY PKWY SUITE 200
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City | PELHAM
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State | AL
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Zip | 35124-2216
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Country | US
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Telephone | 800-379-0309
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Fax | 205-942-5627
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Provider Business Mailing Address
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Address Line | 245 CAHABA VALLEY PKWY SUITE 200
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City | PELHAM
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State | AL
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Zip | 35124-2216
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Country | US
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Telephone | 800-379-0309
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Fax | 205-942-5627
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 51486
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 5652
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A2835
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License Number State | MS
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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 | 817A
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License Number State | AL
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