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General NPI Number Information
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NPI Number | 1053013110
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Entity Type | Organization
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Legal Business Name | HEAR SARASOTA LLC
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Dates
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Enumeration Date | 03/21/2023
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 3333 CLARK RD STE 170
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City | SARASOTA
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State | FL
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Zip | 34231-8435
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Country | US
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Telephone | 941-504-0079
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Fax |
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Provider Business Mailing Address
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Address Line | 3333 CLARK RD
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City | SARASOTA
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State | FL
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Zip | 34231-8432
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Country | US
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Telephone | 941-504-0079
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST/OWNER
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Name | DR. JOHN MASSEY
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Credential | AU.D.
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Telephone | 941-504-0079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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