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General NPI Number Information
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NPI Number | 1285382853
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Entity Type | Individual
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Provider Name | DARCI JO WYATT HEARING INST. SPECIA
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Gender | Female
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 819 N DIERS AVE STE 1
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City | GRAND ISLAND
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State | NE
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Zip | 68803-4957
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Country | US
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Telephone | 308-395-8107
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Fax |
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Provider Business Mailing Address
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Address Line | 200 E HWY 34 APT 8014
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City | GRAND ISLAND
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State | NE
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Zip | 68801
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Country | US
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Telephone | 308-530-7046
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 837
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License Number State | NE
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