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General NPI Number Information
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NPI Number | 1982595559
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Entity Type | Organization
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Legal Business Name | NORTHERN VIRGINIA AUDIOLOGY DOCTORS
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 918 PRINCE ST
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City | ALEXANDRIA
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State | VA
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Zip | 22314-3020
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Country | US
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Telephone | 571-775-3407
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Fax |
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Provider Business Mailing Address
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Address Line | 1511 BELLE VIEW BLVD APT B1
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City | ALEXANDRIA
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State | VA
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Zip | 22307-6715
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANTOINETTE OLIVER
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Credential |
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Telephone | 410-869-6625
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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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