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General NPI Number Information
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NPI Number | 1073838751
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Entity Type | Organization
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Legal Business Name | TERREZZA'S WHOLESALE HEARING, INC
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Dates
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Enumeration Date | 04/06/2010
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Last Update Date | 04/06/2010
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Provider Practice Location Address
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Address Line | 800 N FAIRFIELD DR
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City | PENSACOLA
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State | FL
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Zip | 32506-4313
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Country | US
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Telephone | 850-456-5059
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Fax | 850-456-0461
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Provider Business Mailing Address
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Address Line | 5585 STEWART ST
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City | MILTON
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State | FL
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Zip | 32570-4344
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Country | US
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Telephone | 850-983-8199
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GENE J TERREZZA
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Credential | O.D.
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Telephone | 850-456-5059
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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 |
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License Number State |
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