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General NPI Number Information
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NPI Number | 1083742571
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Entity Type | Organization
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Legal Business Name | HEAR CARE INC
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 08/28/2008
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Provider Practice Location Address
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Address Line | 1108 W DIXIE AVE
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City | LEESBURG
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State | FL
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Zip | 34748-6312
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Country | US
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Telephone | 352-326-5253
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Fax | 352-326-8232
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Provider Business Mailing Address
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Address Line | 1108 W DIXIE AVE
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City | LEESBURG
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State | FL
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Zip | 34748-6312
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Country | US
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Telephone | 352-326-5253
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Fax | 352-326-8232
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Authorized Official
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Title or Position | OWNER
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Name | MARC ROBERT TRYCHEL
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Credential | AU.D.
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Telephone | 352-326-8232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | AY171
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License Number State | FL
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