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General NPI Number Information
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NPI Number | 1205717089
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Entity Type | Organization
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Legal Business Name | SOUND SUPPORT LLC
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 144 US ROUTE 1 STE 1
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City | SCARBOROUGH
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State | ME
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Zip | 04074-7219
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Country | US
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Telephone | 207-415-4841
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Fax | 888-612-5691
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Provider Business Mailing Address
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Address Line | 144 US ROUTE 1 STE 1
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City | SCARBOROUGH
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State | ME
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Zip | 04074-7219
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Country | US
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Telephone | 207-415-4841
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Fax | 888-612-5691
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Authorized Official
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Title or Position | OWNER
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Name | BENJAMIN LIESS
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Credential | MD
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Telephone | 207-415-4841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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