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General NPI Number Information
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NPI Number | 1104149376
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Entity Type | Organization
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Legal Business Name | C & M ENTERPRISES OF CENTRAL FL, INC
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Dates
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Enumeration Date | 03/02/2010
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Last Update Date | 03/02/2010
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Provider Practice Location Address
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Address Line | 5689 RED BUG LAKE ROAD
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City | WINTER SPRINGS
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State | FL
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Zip | 32708
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Country | US
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Telephone | 407-696-1777
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Fax | 407-696-7774
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Provider Business Mailing Address
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Address Line | 236 EASTON CIRCLE
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City | OVIEDO
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State | FL
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Zip | 32765
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Country | US
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Telephone | 407-696-1777
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Fax | 407-696-7774
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Authorized Official
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Title or Position | SPECIALIST/OWNER
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Name | MR. DAN L. CULLEY
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Credential | HEARING INSTRUMENT S
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Telephone | 407-696-1777
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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 | AS1700
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License Number State | FL
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