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General NPI Number Information
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NPI Number | 1154517639
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Entity Type | Organization
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Legal Business Name | EAR-TRONICS, INC.
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 3095 TAMIAMI TRL UNIT B
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-8052
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Country | US
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Telephone | 941-627-0464
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Fax | 941-627-9645
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Provider Business Mailing Address
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Address Line | 3095 TAMIAMI TRL UNIT B
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-8052
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Country | US
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Telephone | 941-627-0464
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Fax | 941-627-9645
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Authorized Official
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Title or Position | OWNER/AUDIOLOGIST
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Name | DR. ROBERT L. HOOPER
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Credential | AU.D.
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Telephone | 94716270464
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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 | AY248
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License Number State | FL
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