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General NPI Number Information
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NPI Number | 1285242453
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Entity Type | Organization
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Legal Business Name | HOMETOWN HEARING CORP
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Dates
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Enumeration Date | 07/14/2020
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Last Update Date | 07/14/2020
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Provider Practice Location Address
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Address Line | 2721 S WOODLAND BLVD
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City | DELAND
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State | FL
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Zip | 32720-7005
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Country | US
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Telephone | 386-279-7537
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Fax |
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Provider Business Mailing Address
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Address Line | 2721 S WOODLAND BLVD
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City | DELAND
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State | FL
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Zip | 32720-7005
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Country | US
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Telephone |
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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. ERIC PARKER
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Credential |
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Telephone | 952-232-7252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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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 |
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License Number State |
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