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Objects / Healthcare Organization

Healthcare Organization Stored source record

AUDIOLOGY SERVICES

1000 S ELISEO DR, GREENBRAE, CA, 949042133

atlas:atm_npi_1013133578

Block 1000Block Group 1Census Tract 1192.01Marin CountyCaliforniaUnited States

What is stored

phone
415-461-9770
status
A
address
1000 S ELISEO DR, GREENBRAE, CA, 949042133
fax
415-461-6744
npi
1013133578
license
au351
taxonomy
Audiologist-Hearing Aid Fitter
other names
[]
last updated
2009-09-16
license state
CA
taxonomy code
237600000X
all taxonomies
["Audiologist-Hearing Aid Fitter"]
enumeration date
2007-04-17
enumeration type
NPI-2
practice locations
0
authorized official
LISA DUNDAS
organizational subpart
NO

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{
  "fax": "415-461-6744",
  "npi": "1013133578",
  "phone": "415-461-9770",
  "status": "A",
  "address": "1000 S ELISEO DR, GREENBRAE, CA, 949042133",
  "license": "au351",
  "taxonomy": "Audiologist-Hearing Aid Fitter",
  "other_names": [],
  "last_updated": "2009-09-16",
  "license_state": "CA",
  "taxonomy_code": "237600000X",
  "all_taxonomies": [
    "Audiologist-Hearing Aid Fitter"
  ],
  "enumeration_date": "2007-04-17",
  "enumeration_type": "NPI-2",
  "practice_locations": 0,
  "authorized_official": "LISA DUNDAS",
  "organizational_subpart": "NO"
}