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General NPI Number Information
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NPI Number | 1265621403
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Entity Type | Organization
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Legal Business Name | EARCARE P.A.
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 250 N COURTENAY PKWY STE 102
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-3495
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Country | US
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Telephone | 321-452-9131
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Fax | 321-452-9404
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Provider Business Mailing Address
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Address Line | 250 N COURTENAY PKWY STE 102
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-3495
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Country | US
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Telephone | 321-452-9131
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Fax | 321-452-9404
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CATHERINE COWAN-OBERBECK
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Credential | AUD
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Telephone | 321-452-9131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AY145
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License Number State | FL
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