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General NPI Number Information
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NPI Number | 1992930382
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY & HEARING AID ASSOC
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Dates
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Enumeration Date | 05/28/2009
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Last Update Date | 05/28/2009
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Provider Practice Location Address
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Address Line | 2451 S AVE A STE 1
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City | YUMA
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State | AZ
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Zip | 85364-7133
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Country | US
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Telephone | 928-341-1330
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Fax | 928-341-9748
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Provider Business Mailing Address
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Address Line | 2451 S AVENUE A STE 1
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City | YUMA
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State | AZ
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Zip | 85364-7133
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Country | US
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Telephone | 928-341-1330
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Fax | 928-341-9748
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Authorized Official
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Title or Position | CLINICAL AUDIOLOGIST
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Name | M. SHEILA ANN FITZGERALD
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Credential | M.A.,AUD ( C ), FAAA
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Telephone | 928-341-1330
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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 | DA542
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License Number State | AZ
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