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NPI Code Detail

MEDICARE: DR. LARRY GIOVINAZZO AU.D.

MEDICARE:  DR. LARRY  GIOVINAZZO  AU.D.
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
1237600000XAudiologist-Hearing Aid FitterA1063OH
2231H00000XAudiologistA1063OH
3231HA2400XAssistive Technology Practitioner AudiologistA1063OH
4231HA2500XAssistive Technology Supplier AudiologistA1063OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780667477
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LARRY GIOVINAZZO AU.D.
Provider Business Mailing Address
First Line : 8700 E MARKET ST
Second Line : SUITE 2
City : HOWLAND
State : OH
Zip : 44484-2340
Country : US
Telephone Number : 330-372-4500
Fax Number : 330-372-4540
Provider Business Practice Location Address
First Line : 8700 E MARKET ST
Second Line : SUITE 2
City : HOWLAND
State : OH
Zip : 44484-2340
Country : US
Telephone Number : 330-372-4500
Fax Number : 330-372-4540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2005
Last Update Date : 03/19/2008

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