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General NPI Number Information
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NPI Number | 1174232870
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Entity Type | Organization
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Legal Business Name | EAST COAST HEARING AIDS
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Dates
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Enumeration Date | 11/21/2022
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 7100 SIX FORKS RD STE 120
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City | RALEIGH
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State | NC
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Zip | 27615-6260
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Country | US
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Telephone | 252-773-0636
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Fax | 877-771-3406
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Provider Business Mailing Address
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Address Line | 5041 EXECUTIVE DR STE 100
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City | MOREHEAD CITY
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State | NC
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Zip | 28557-2507
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Country | US
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Telephone | 252-773-0636
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Fax | 877-771-3406
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Authorized Official
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Title or Position | OWNER
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Name | DR. GARY CHRISTOPHER GAINES II
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Credential | AUD, PHD
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Telephone | 252-773-0636
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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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