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General NPI Number Information
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NPI Number | 1154720621
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Entity Type | Organization
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Legal Business Name | GULF HEARING AID CENTER
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Dates
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Enumeration Date | 08/20/2014
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Last Update Date | 08/20/2014
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Provider Practice Location Address
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Address Line | 380 TAMIAMI TRL N
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City | NAPLES
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State | FL
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Zip | 34102-5803
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Country | US
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Telephone | 239-262-2288
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Fax |
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Provider Business Mailing Address
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Address Line | 380 TAMIAMI TRL N
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City | NAPLES
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State | FL
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Zip | 34102-5803
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Country | US
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Telephone | 239-262-2288
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. VIRGINIA TOMPKINS ROWLEDGE
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Credential | BC-HIS
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Telephone | 239-262-2288
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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 | AY497
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS1317
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License Number State | FL
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