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General NPI Number Information
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NPI Number | 1114081338
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Entity Type | Organization
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Legal Business Name | H WILLIAM MATTINGLY CORPORATION
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 600 6TH AVE
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City | HUNTINGTON
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State | WV
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Zip | 25701-2104
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Country | US
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Telephone | 304-525-7221
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Fax | 513-332-9072
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Provider Business Mailing Address
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Address Line | 600 6TH AVE
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City | HUNTINGTON
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State | WV
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Zip | 25701-2104
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Country | US
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Telephone | 304-521-4365
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Fax | 513-332-9072
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MARSHA MATTINGLY
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Credential | BC-HIS
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Telephone | 304-521-4252
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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 | 17
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License Number State | WV
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Taxonomy #2
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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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