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General NPI Number Information
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NPI Number | 1295270056
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Entity Type | Organization
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Legal Business Name | PEEK PROFESSIONAL HEARING CENTER, LLC
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Dates
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Enumeration Date | 01/03/2017
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Last Update Date | 01/03/2017
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Provider Practice Location Address
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Address Line | 233 E BLACKSTOCK RD STE H
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City | SPARTANBURG
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State | SC
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Zip | 29301-2652
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Country | US
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Telephone | 864-587-9957
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Fax | 864-595-5049
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Provider Business Mailing Address
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Address Line | 233 E BLACKSTOCK RD STE H
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City | SPARTANBURG
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State | SC
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Zip | 29301-2652
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Country | US
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Telephone | 864-587-9957
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Fax | 864-595-5049
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Authorized Official
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Title or Position | PRESDIENT
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Name | MR. STEVEN GREGORY PEEK
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Credential | HAS, ACA
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Telephone | 864-587-9957
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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 | 409
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License Number State | SC
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