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General NPI Number Information
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NPI Number | 1033625504
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Entity Type | Individual
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Provider Name | ELIZABETH ASHLEY HENDRIX H.I.S.
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Gender | Female
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Dates
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Enumeration Date | 12/20/2017
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 3863 S NOVA RD STE B
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City | PORT ORANGE
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State | FL
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Zip | 32127-4959
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Country | US
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Telephone | 386-310-4861
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Fax |
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Provider Business Mailing Address
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Address Line | 56 ATLANTIC DR
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City | PALM COAST
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State | FL
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Zip | 32137-2435
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Country | US
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Telephone | 850-630-1330
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS5271
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License Number State | FL
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