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General NPI Number Information
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NPI Number | 1013454354
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Entity Type | Individual
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Provider Name | NANCY BOCKWAY M.A.
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Gender | Female
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Dates
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Enumeration Date | 01/25/2017
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Last Update Date | 01/25/2017
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Provider Practice Location Address
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Address Line | 1 JOHN MARSHALL DR
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City | HUNTINGTON
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State | WV
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Zip | 25755-0002
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Country | US
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Telephone | 304-696-3640
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Fax |
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Provider Business Mailing Address
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Address Line | 1 JOHN MARSHALL DR
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City | HUNTINGTON
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State | WV
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Zip | 25755-0002
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Country | US
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Telephone | 304-696-3640
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 100030
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A.00881
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A-0067
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 102495
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License Number State | KY
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