MEDICARE: DR. REBECCA ELIZABETH BOOK 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
1	237600000X	Audiologist-Hearing Aid Fitter	01194	MD

Other Identifiers

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

General Provider Information

NPI Number	:	1831419159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA ELIZABETH BOOK AUD

Provider Business Mailing Address
First Line	:	PO BOX 1680
Second Line	:
City	:	CLARKSBURG
State	:	MD
Zip	:	20871-1680
Country	:	US
Telephone Number	:	410-590-9462
Fax Number	:	410-590-9464

Provider Business Practice Location Address
First Line	:	8028 RITCHIE HWY STE 136A
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-1030
Country	:	US
Telephone Number	:	410-590-9462
Fax Number	:	410-590-9464

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2010
Last Update Date	:	05/19/2025

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