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NPI Code Detail

MEDICARE: AMANDA D LEDDIGE AUD

MEDICARE:   AMANDA D LEDDIGE  AUD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument SpecialistH-0318ND
2231H00000XAudiologist1262ND

General Provider Information

NPI Number : 1164869277
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA D LEDDIGE AUD
Provider Business Mailing Address
First Line : 705 BREMNER AVE
Second Line :
City : BISMARCK
State : ND
Zip : 58503-3001
Country : US
Telephone Number : 701-751-6232
Fax Number :
Provider Business Practice Location Address
First Line : 4900 OTTAWA ST STE 300
Second Line :
City : BISMARCK
State : ND
Zip : 58503-6156
Country : US
Telephone Number : 701-751-6232
Fax Number : 701-751-6235
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2013
Last Update Date : 02/01/2022

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Directions to “ AMANDA D LEDDIGE AUD” Practice Location

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