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General NPI Number Information
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NPI Number | 1215521596
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Entity Type | Individual
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Provider Name | LISA GAYE EGGERS NBC-HAS
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Gender | Female
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Dates
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Enumeration Date | 02/26/2021
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Last Update Date | 02/26/2021
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Provider Practice Location Address
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Address Line | 4265 TAMIAMI TRL UNIT F
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City | PORT CHARLOTTE
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State | FL
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Zip | 33980-2149
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Country | US
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Telephone | 941-627-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 9813 SPYGLASS CT
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City | NORTH FORT MYERS
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State | FL
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Zip | 33903-6682
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Country | US
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Telephone | 239-645-7476
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Fax | 941-235-1904
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS5155
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License Number State | FL
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