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General NPI Number Information
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NPI Number | 1992363261
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Entity Type | Organization
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Legal Business Name | COUNTRY ROADS AUDIOLOGY AND HEARING AID CENTER, LLC
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Dates
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Enumeration Date | 06/03/2019
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Last Update Date | 06/03/2019
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Provider Practice Location Address
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Address Line | 1741 VIRGINIA AVE STE C
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City | HARRISONBURG
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State | VA
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Zip | 22802-8330
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Country | US
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Telephone | 540-209-8993
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Fax | 540-217-2346
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Provider Business Mailing Address
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Address Line | 1741 VIRGINIA AVE STE C
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City | HARRISONBURG
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State | VA
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Zip | 22802-8330
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Country | US
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Telephone | 540-209-8993
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Fax | 540-217-2346
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Authorized Official
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Title or Position | OWNER
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Name | KRISTIN QUESENBERRY
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Credential |
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Telephone | 540-282-7727
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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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