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General NPI Number Information
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NPI Number | 1942537865
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Entity Type | Organization
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Legal Business Name | AMELIA AUDIOLOGY
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Dates
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Enumeration Date | 11/13/2009
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 1411 S 14TH ST STE F
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-3092
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Country | US
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Telephone | 904-491-1515
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Fax | 904-491-1513
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Provider Business Mailing Address
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Address Line | 1411 S 14TH ST STE F
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-3092
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Country | US
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Telephone | 904-491-1515
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Fax | 904-491-1513
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALEXANDER THOMAS BARNARD
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Credential | AU.D.
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Telephone | 904-491-1515
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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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