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General NPI Number Information
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NPI Number | 1316491384
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Entity Type | Organization
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Legal Business Name | HEAR ON THE SHORE, INC.
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Dates
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Enumeration Date | 08/08/2016
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Last Update Date | 08/08/2016
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Provider Practice Location Address
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Address Line | 119 W 3RD ST
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City | LEWES
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State | DE
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Zip | 19958-1315
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Country | US
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Telephone | 443-235-4461
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Fax |
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Provider Business Mailing Address
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Address Line | 103 BRYAN DR
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-9731
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Country | US
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Telephone | 443-235-4461
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KARLA K QUILLEN
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Credential | HIS
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Telephone | 443-235-4461
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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 | 02731
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License Number State | MD
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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 | 2102002685
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 030000251
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License Number State | DE
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