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General NPI Number Information
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NPI Number | 1255875985
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Entity Type | Organization
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Legal Business Name | SPARTA HEARING AID CENTER
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Dates
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Enumeration Date | 12/14/2016
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Last Update Date | 02/25/2020
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Provider Practice Location Address
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Address Line | 4379 MONTEREY HWY
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City | SPARTA
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State | TN
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Zip | 38583-2749
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Country | US
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Telephone | 931-739-4327
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Fax | 931-739-4326
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Provider Business Mailing Address
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Address Line | 4379 MONTEREY HWY
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City | SPARTA
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State | TN
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Zip | 38583-2749
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Country | US
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Telephone | 931-739-4327
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Fax | 931-739-4326
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Authorized Official
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Title or Position | OWNER
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Name | TEDDY K DAY
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Credential | HEARING AID SPEC
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Telephone | 931-739-4327
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 403
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License Number State | TN
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