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General NPI Number Information
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NPI Number | 1326184938
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Entity Type | Organization
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Legal Business Name | DE MCVEY ENTERPRISES INC
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 04/29/2016
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Provider Practice Location Address
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Address Line | 275 WEST UNION STREET
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City | ATHENS
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State | OH
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Zip | 45701-2313
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Country | US
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Telephone | 740-594-3571
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Fax | 740-592-2212
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Provider Business Mailing Address
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Address Line | 275 WEST UNION STREET
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City | ATHENS
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State | OH
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Zip | 45701-2313
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Country | US
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Telephone | 740-594-3571
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Fax | 740-592-2212
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Authorized Official
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Title or Position | OWNER
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Name | BETHANY P GONCZY
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Credential | AU.D.
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Telephone | 740-594-3571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A00238
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | A00238
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 01419
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | WV0269
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License Number State | WV
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Taxonomy #5
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A01953
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A01741
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License Number State | OH
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