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General NPI Number Information
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NPI Number | 1174616262
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Entity Type | Organization
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Legal Business Name | RALEIGH HEARING CENTER, INC.
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 673 RITTER DR
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City | GLEN MORGAN
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State | WV
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Zip | 25813-7707
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Country | US
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Telephone | 304-255-1337
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Fax | 304-255-6688
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Provider Business Mailing Address
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Address Line | 673 RITTER DR
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City | GLEN MORGAN
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State | WV
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Zip | 25813-7707
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Country | US
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Telephone | 304-255-1337
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Fax | 304-255-6688
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Authorized Official
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Title or Position | SECRETARY
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Name | CAROL CORRO
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Credential |
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Telephone | 304-255-1337
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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 | WV
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