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General NPI Number Information
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NPI Number | 1265416218
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Entity Type | Organization
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Legal Business Name | BELTONE HEARING AID CENTER
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Dates
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Enumeration Date | 12/02/2005
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 751 BETHESDA RD SUITE 100
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City | WINSTON SALEM
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State | NC
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Zip | 27103-3301
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Country | US
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Telephone | 336-774-1113
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Fax | 336-774-1467
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Provider Business Mailing Address
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Address Line | 751 BETHESDA RD SUITE 100
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City | WINSTON SALEM
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State | NC
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Zip | 27103-3301
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Country | US
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Telephone | 336-774-1113
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Fax | 336-774-1467
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Authorized Official
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Title or Position | OWNER DOCTOR OF AUDIOLOGY
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Name | TRINA RENEE BEDSAUL
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Credential | AUD
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Telephone | 336-774-1113
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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 | 2601
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 231HA2400X
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Taxonomy Name | Assistive Technology Practitioner Audiologist
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License Number | 2601
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 690/226
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 2601/690
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License Number State | NC
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