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General NPI Number Information
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NPI Number | 1235597220
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Entity Type | Organization
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Legal Business Name | EAR-CENTRAL, PLLC
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Dates
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Enumeration Date | 02/04/2016
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 4524 E HEREFORD RD
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City | HEREFORD
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State | AZ
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Zip | 85615-8813
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Country | US
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Telephone | 877-508-1130
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Fax | 877-508-1130
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Provider Business Mailing Address
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Address Line | 4524 E HEREFORD RD
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City | HEREFORD
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State | AZ
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Zip | 85615-8813
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Country | US
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Telephone | 877-508-1130
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Fax | 877-508-1130
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | MICHAEL OLAN WEBB
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Credential | M.S.
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Telephone | 520-227-4523
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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 | DA
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License Number State | AZ
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