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General NPI Number Information
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NPI Number | 1104021344
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Entity Type | Organization
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Legal Business Name | BETTER SOUND HEARING AID SERVICE
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 1601 W OKMULGEE ST
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City | MUSKOGEE
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State | OK
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Zip | 74401-6749
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Country | US
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Telephone | 918-683-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 W OKMULGEE ST
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City | MUSKOGEE
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State | OK
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Zip | 74401-6749
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Country | US
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Telephone | 918-683-1234
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. STEVE M. DYKE
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Credential | BC-HIS
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Telephone | 918-683-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 441
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License Number State | OK
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