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General NPI Number Information
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NPI Number | 1982925772
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY SERVICES INC
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Dates
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Enumeration Date | 06/16/2010
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Last Update Date | 06/16/2010
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Provider Practice Location Address
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Address Line | 122 W SAINT CHARLES RD SUITE 4A
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City | VILLA PARK
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State | IL
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Zip | 60181-2477
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Country | US
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Telephone | 800-459-7512
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Fax | 800-459-7593
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Provider Business Mailing Address
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Address Line | 122 W SAINT CHARLES RD SUITE 4A
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City | VILLA PARK
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State | IL
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Zip | 60181-2477
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Country | US
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Telephone | 800-459-7512
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Fax | 800-459-7593
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SARGON KHAMO
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Credential |
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Telephone | 800-459-7512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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