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General NPI Number Information
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NPI Number | 1104706860
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Entity Type | Organization
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Legal Business Name | EXCEPTIONAL HEARING LLC
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 200 N QUANAH AVE
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City | RUSSELLVILLE
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State | AR
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Zip | 72801-2762
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Country | US
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Telephone | 479-968-7250
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Fax |
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Provider Business Mailing Address
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Address Line | 200 N QUANAH AVE
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City | RUSSELLVILLE
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State | AR
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Zip | 72801-2762
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Country | US
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Telephone | 479-968-7250
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN STEWART
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Credential | MS, FAAA
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Telephone | 405-323-9429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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