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General NPI Number Information
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NPI Number | 1255636098
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Entity Type | Organization
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Legal Business Name | ADVANCED HEARING GROUP, LLC
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Dates
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Enumeration Date | 01/25/2011
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Last Update Date | 01/25/2011
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Provider Practice Location Address
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Address Line | 8602 SW HIGHWAY 200 STE E
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City | OCALA
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State | FL
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Zip | 34481-7808
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Country | US
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Telephone | 352-873-1722
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Fax | 352-873-1622
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Provider Business Mailing Address
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Address Line | PO BOX 350086
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City | GRAND ISLAND
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State | FL
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Zip | 32735-0086
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Country | US
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Telephone | 352-873-1722
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Fax | 352-873-1622
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Authorized Official
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Title or Position | MGR MEMBER
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Name | MR. ANDRE J SCHMALENBERGER
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Credential |
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Telephone | 352-873-1722
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number |
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License Number State |
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