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NPI Code Detail

MEDICARE: ANABELLE BOLE AU.D.

MEDICARE:   ANABELLE  BOLE  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
1231H00000XAudiologist81652TX

General Provider Information

NPI Number : 1790462240
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANABELLE BOLE AU.D.
Provider Business Mailing Address
First Line : 907 SHELLEY AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78703-4811
Country : US
Telephone Number : 512-921-9202
Fax Number :
Provider Business Practice Location Address
First Line : 9010 N LAKE CREEK PKWY
Second Line :
City : AUSTIN
State : TX
Zip : 78717-6217
Country : US
Telephone Number : 737-707-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2023
Last Update Date : 06/28/2023

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Directions to “ ANABELLE BOLE AU.D.” Practice Location

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