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General NPI Number Information
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NPI Number | 1033454384
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Entity Type | Organization
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Legal Business Name | BAY AREA BETTER HEARING
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Dates
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Enumeration Date | 11/27/2012
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Last Update Date | 11/27/2012
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Provider Practice Location Address
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Address Line | 4400 E HIGHWAY 20 STE 211
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City | NICEVILLE
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State | FL
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Zip | 32578-8779
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Country | US
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Telephone | 850-279-4545
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Fax |
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Provider Business Mailing Address
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Address Line | 4400 E HIGHWAY 20 STE 211
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City | NICEVILLE
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State | FL
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Zip | 32578-8779
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARY JO STILES
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Credential |
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Telephone | 850-279-4545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS3550
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License Number State | FL
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