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General NPI Number Information
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NPI Number | 1265762611
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Entity Type | Organization
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Legal Business Name | CENTRE FOR SOUND HEARING AIDS
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Dates
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Enumeration Date | 01/07/2010
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Last Update Date | 01/07/2010
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Provider Practice Location Address
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Address Line | 2635 SANDY PLAINS RD A2
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City | MARIETTA
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State | GA
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Zip | 30066-4200
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Country | US
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Telephone | 770-509-0207
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Fax |
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Provider Business Mailing Address
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Address Line | 2635 SANDY PLAINS RD A2
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City | MARIETTA
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State | GA
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Zip | 30066-4200
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Country | US
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Telephone | 770-509-0207
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHARLES RANDY SWINT
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Credential | BC-HIS
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Telephone | 770-509-0207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HADE000403
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License Number State | GA
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