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General NPI Number Information
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NPI Number | 1982839452
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Entity Type | Organization
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Legal Business Name | LOCAL HEARING AID AND AUDIOLOGY SERVICES
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Dates
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Enumeration Date | 05/27/2009
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Last Update Date | 05/27/2009
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Provider Practice Location Address
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Address Line | 827 19TH ST N
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City | BESSEMER
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State | AL
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Zip | 35020-3456
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Country | US
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Telephone | 205-426-1801
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Fax |
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Provider Business Mailing Address
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Address Line | 827 19TH ST N
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City | BESSEMER
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State | AL
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Zip | 35020-3456
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Country | US
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Telephone | 205-426-1801
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LESLIE J DOUGLAS
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Credential |
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Telephone | 205-426-1801
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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 | 572A
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License Number State | AL
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