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General NPI Number Information
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NPI Number | 1073885919
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Entity Type | Organization
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Legal Business Name | REAL EAR INC
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 02/08/2012
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Provider Practice Location Address
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Address Line | 1976 STATE ROAD 44 SUITE 11
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32168-8349
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Country | US
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Telephone | 386-423-9099
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Fax | 386-423-8265
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Provider Business Mailing Address
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Address Line | 1976 STATE ROAD 44 SUITE 11
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32168-8349
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Country | US
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Telephone | 386-423-9099
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Fax | 386-423-8265
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Authorized Official
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Title or Position | SPECIALIST
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Name | MRS. JAMI LEIGH PEACE
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Credential | H.A.S.
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Telephone | 386-423-9099
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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 | AS 4758
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License Number State | FL
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