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General NPI Number Information
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NPI Number | 1992305528
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY OUTSIDE THE BOX PLLC
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Dates
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Enumeration Date | 11/01/2020
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Last Update Date | 11/01/2020
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Provider Practice Location Address
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Address Line | 360 TAYLOR ST NE APT 23R
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City | WASHINGTON
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State | DC
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Zip | 20017-1560
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Country | US
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Telephone | 202-683-7260
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 29095
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City | WASHINGTON
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State | DC
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Zip | 20017-0095
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Country | US
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Telephone | 202-683-7260
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Fax |
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Authorized Official
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Title or Position | OWNER AND CLINICAL AUDIOLOGIST
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Name | DR. SARAH ANN SPARKS
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Credential | AUD
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Telephone | 202-683-7260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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