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General NPI Number Information
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NPI Number | 1952471732
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY ASSOCIATES OF SOUTH FLORIDA INC.
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 03/09/2009
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Provider Practice Location Address
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Address Line | 5411 N UNIVERSITY DR SUITE 102
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4637
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Country | US
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Telephone | 954-752-1559
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Fax | 954-752-1560
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Provider Business Mailing Address
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Address Line | 5411 N UNIVERSITY DR SUITE 102
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4637
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Country | US
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Telephone | 954-752-1559
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Fax | 954-752-1560
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ROBERTA RANDEL
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Credential | AUD
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Telephone | 954-752-1559
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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 | AY24
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License Number State | FL
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