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General NPI Number Information
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NPI Number | 1144866138
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Entity Type | Organization
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Legal Business Name | INTEGRITY HEARING CENTER LLC
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Dates
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Enumeration Date | 11/25/2019
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Last Update Date | 02/15/2021
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Provider Practice Location Address
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Address Line | 11 SYDNORVILLE RD STE 2
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City | TROY
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State | MO
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Zip | 63379-3224
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Country | US
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Telephone | 636-528-4433
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Fax |
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Provider Business Mailing Address
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Address Line | 31 WINDING STAIR WAY
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City | O FALLON
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State | MO
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Zip | 63368-6125
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Country | US
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Telephone | 636-728-8840
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST/OWNER
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Name | EUGENE KELLY GESSERT
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Credential | AU.D
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Telephone | 636-528-4433
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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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