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General NPI Number Information
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NPI Number | 1124256474
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Entity Type | Organization
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Legal Business Name | SHERIDAN HEALTHY HEARING SERVICES, INC
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Dates
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Enumeration Date | 06/25/2009
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Last Update Date | 06/25/2009
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Provider Practice Location Address
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Address Line | 44045 RIVERSIDE PKWY
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City | LEESBURG
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State | VA
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Zip | 20176-5101
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Country | US
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Telephone | 703-858-6000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 452347
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City | SUNRISE
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State | FL
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Zip | 33345-2347
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Country | US
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Telephone | 954-838-2371
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LEWIS GOLD
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Credential | M.D.
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Telephone | 954-838-2371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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