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General NPI Number Information
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NPI Number | 1285946178
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Entity Type | Organization
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Legal Business Name | COSTCO WHOLESALE CORPORATION
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Dates
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Enumeration Date | 07/08/2010
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Last Update Date | 08/22/2023
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Provider Practice Location Address
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Address Line | 3050 ASHLEY TOWN CENTER DR
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City | CHARLESTON
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State | SC
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Zip | 29414-5664
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Country | US
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Telephone | 843-460-2828
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Fax | 843-460-2015
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Provider Business Mailing Address
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Address Line | 3050 ASHLEY TOWN CENTER DR
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City | CHARLESTON
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State | SC
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Zip | 29414-5664
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Country | US
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Telephone | 843-460-2828
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Fax | 843-460-2015
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Authorized Official
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Title or Position | BRD CERT HEARING INSTR. SPECIALIST
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Name | MRS. PATRICIA ANN BAILEY
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Credential | BC-HIS
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Telephone | 843-460-2028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | SC 417
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License Number State | SC
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