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General NPI Number Information
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NPI Number | 1255698643
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Entity Type | Organization
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Legal Business Name | HENNESSY HEARING LLC
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Dates
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Enumeration Date | 04/23/2012
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Last Update Date | 12/03/2013
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Provider Practice Location Address
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Address Line | 900 CAPITAL CIR SE STE 1
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City | TALLAHASSEE
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State | FL
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Zip | 32301-3823
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Country | US
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Telephone | 850-942-4007
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Fax | 850-942-7927
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Provider Business Mailing Address
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Address Line | 900 CAPITAL CIR SE STE 1
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City | TALLAHASSEE
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State | FL
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Zip | 32301-3823
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Country | US
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Telephone | 850-942-4007
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Fax | 850-942-7927
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ANN E HENNESSY
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Credential | MA, CCC-A
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Telephone | 850-942-4997
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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 | AY724
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License Number State | FL
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