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General NPI Number Information
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NPI Number | 1962455618
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Entity Type | Individual
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Provider Name | ROSS E CUSHING AU.D.
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 18310 MONTGOMERY VILLAGE AVE STE 520
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3554
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Country | US
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Telephone | 301-977-6317
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Fax | 301-977-8503
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Provider Business Mailing Address
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Address Line | PO BOX 1680
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City | CLARKSBURG
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State | MD
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Zip | 20871-1680
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Country | US
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Telephone | 301-977-6317
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Fax | 301-977-8503
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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 | 01080
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License Number State | MD
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