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General NPI Number Information
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NPI Number | 1093897209
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Entity Type | Organization
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Legal Business Name | KENT-TRONICS CORP
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1535 W NEW HAVEN AV
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City | WEST MELBOURNE
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State | FL
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Zip | 32904
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Country | US
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Telephone | 321-674-1605
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Fax | 321-674-1606
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Provider Business Mailing Address
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Address Line | 70 COUNTRY CLUB ROAD
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City | COCOA BEACH
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State | FL
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Zip | 32931
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Country | US
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Telephone | 321-799-1278
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Fax | 321-799-1177
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CHERILYNN M BROY
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Credential |
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Telephone | 321-799-1278
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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 | AS2632
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS2169
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License Number State | FL
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