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General NPI Number Information
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NPI Number | 1942536982
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY ASSOCIATES, LLC
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Dates
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Enumeration Date | 10/27/2009
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Last Update Date | 10/27/2009
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Provider Practice Location Address
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Address Line | 1515 CHAIN BRIDGE RD SUITE 208
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City | MC LEAN
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State | VA
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Zip | 22101-4451
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Country | US
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Telephone | 703-356-5601
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Fax | 703-448-0380
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Provider Business Mailing Address
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Address Line | 2021 K ST NW SUITE 210
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City | WASHINGTON
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State | DC
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Zip | 20006-1003
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Country | US
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Telephone | 202-223-3560
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Fax | 202-223-3339
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GORDON JAMES VAP
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Credential |
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Telephone | 202-223-3560
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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 | 2201000626
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License Number State | VA
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