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General NPI Number Information
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NPI Number | 1235519679
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Entity Type | Organization
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Legal Business Name | PURE SOUND HEARING CENTERS, LLC.
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Dates
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Enumeration Date | 06/01/2015
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Last Update Date | 09/01/2015
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Provider Practice Location Address
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Address Line | 10935 SE 177TH PL 203
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City | SUMMERFIELD
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State | FL
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Zip | 34491-8975
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Country | US
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Telephone | 352-245-2333
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Fax | 352-245-2338
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Provider Business Mailing Address
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Address Line | 10935 SE 177TH PL 203
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City | SUMMERFIELD
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State | FL
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Zip | 34491-8975
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Country | US
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Telephone | 352-245-2333
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Fax | 352-245-2338
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Authorized Official
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Title or Position | OWNER
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Name | MR. AUGUST M ALTOM
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Credential | BC-HIS
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Telephone | 352-245-2333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | AS2800
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | AS2800
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License Number State | FL
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