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General NPI Number Information
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NPI Number | 1023489374
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Entity Type | Organization
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Legal Business Name | MEDRX, INC
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Dates
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Enumeration Date | 10/13/2015
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 1200 STARKEY RD STE105B
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City | LARGO
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State | FL
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Zip | 33771-3167
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Country | US
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Telephone | 727-584-9696
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 STARKEY RD STE105B
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City | LARGO
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State | FL
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Zip | 33771-3167
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Country | US
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Telephone | 727-584-9696
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | CALEB SPARKMAN
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Credential | AU.D.
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Telephone | 727-584-9600
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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 |
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License Number State |
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