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General NPI Number Information
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NPI Number | 1023492683
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Entity Type | Organization
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Legal Business Name | SOUND HEARING CENTERS, LLC
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 07/14/2015
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Provider Practice Location Address
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Address Line | 1400 PALM BAY RD STE C
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City | PALM BAY
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State | FL
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Zip | 32905-3851
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Country | US
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Telephone | 321-723-0033
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Fax | 321-723-0016
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Provider Business Mailing Address
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Address Line | 1400 PALM BAY RD STE C
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City | PALM BAY
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State | FL
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Zip | 32905-3851
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Country | US
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Telephone | 321-723-0033
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Fax | 321-723-0016
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Authorized Official
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Title or Position | OWNER
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Name | MARY E CHADMAN
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Credential | H.A.S.
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Telephone | 321-723-0033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | AS4887
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License Number State | FL
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