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NPI 1275795767

NPI 1275795767 : TN HEARING SYSTEMS : COOKEVILLE, TN

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General NPI Number Information
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    NPI Number           |    1275795767
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    Entity Type          |    Organization 
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    Legal Business Name  |    TN HEARING SYSTEMS 
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Dates
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    Enumeration Date     |    06/26/2008
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    Last Update Date     |    06/26/2008
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Provider Practice Location Address
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    Address Line         |    390 S LOWE AVE SUITE J
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    City                 |    COOKEVILLE
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    State                |    TN
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    Zip                  |    38501-4732
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    Country              |    US
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    Telephone            |    931-372-0002
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    Fax                  |    931-372-0474
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Provider Business Mailing Address
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    Address Line         |    390 S LOWE AVE SUITE J
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    City                 |    COOKEVILLE
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    State                |    TN
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    Zip                  |    38501-4732
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    Country              |    US
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    Telephone            |    931-372-0002
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    Fax                  |    931-372-0474
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. BRUCE ERIC CAMPBELL 
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    Credential           |    HIS
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    Telephone            |    931-261-0369
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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       |    000675
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    License Number State |    TN
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