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General NPI Number Information
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NPI Number | 1972046787
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY AND HEARING AID ASSOCIATES
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Dates
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Enumeration Date | 11/28/2016
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 1404 4TH ST
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City | LA GRANDE
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State | OR
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Zip | 97850-2502
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Country | US
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Telephone | 541-612-7555
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Fax | 208-639-9581
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Provider Business Mailing Address
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Address Line | 1404 4TH ST
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City | LA GRANDE
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State | OR
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Zip | 97850-2502
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Country | US
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Telephone | 208-761-8065
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Fax |
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Authorized Official
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Title or Position | OWNER/AUDIOLOGIST
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Name | ERIKA SHAKESPEARE
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Credential |
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Telephone | 541-612-7555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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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 | 22401
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License Number State | OR
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