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General NPI Number Information
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NPI Number | 1295165215
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Entity Type | Organization
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Legal Business Name | HEARMASTERS OF MS INC.
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Dates
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Enumeration Date | 11/13/2013
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Last Update Date | 11/13/2013
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Provider Practice Location Address
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Address Line | 6915 CRUMPLER BLVD STE E
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City | OLIVE BRANCH
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State | MS
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Zip | 38654-1967
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Country | US
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Telephone | 662-874-6279
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Fax | 662-874-6281
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Provider Business Mailing Address
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Address Line | 6915 CRUMPLER BLVD STE E
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City | OLIVE BRANCH
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State | MS
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Zip | 38654-1967
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Country | US
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Telephone | 662-874-6279
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Fax | 662-874-6281
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Authorized Official
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Title or Position | OWNER
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Name | JAMES JOSEPH PICKLER
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Credential |
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Telephone | 731-343-2543
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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 |
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License Number State |
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