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General NPI Number Information
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NPI Number | 1093969081
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Entity Type | Organization
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Legal Business Name | PERFECTA EAR INC
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Dates
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Enumeration Date | 11/05/2008
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Last Update Date | 11/05/2008
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Provider Practice Location Address
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Address Line | 6310 GALL BLVD
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-2504
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Country | US
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Telephone | 813-783-1249
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Fax | 813-780-7074
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Provider Business Mailing Address
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Address Line | 6310 GALL BLVD
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-2504
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Country | US
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Telephone | 813-783-1249
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Fax | 813-780-7074
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Authorized Official
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Title or Position | OWNER/DISPENSER
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Name | ELIZABETH RETEY
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Credential | HIS
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Telephone | 813-783-1249
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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 |
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License Number State |
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