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General NPI Number Information
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NPI Number | 1245590025
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Entity Type | Individual
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Provider Name | LISA WADE THOMAS N.C. HEARING CARE SP
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Gender | Female
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Dates
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Enumeration Date | 05/25/2012
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Last Update Date | 05/25/2012
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Provider Practice Location Address
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Address Line | 11887 S. P. SHOPPING CTR
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City | SPRUCE PINE
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State | NC
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Zip | 28777
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Country | US
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Telephone | 828-765-6770
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Fax | 828-765-5978
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Provider Business Mailing Address
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Address Line | 11887 SPRUCE PINE SHOPPING CTR
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City | SPRUCE PINE
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State | NC
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Zip | 28777
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Country | US
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Telephone | 828-765-6770
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Fax | 828-765-5978
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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 | 585
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License Number State | NC
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