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General NPI Number Information
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NPI Number | 1336544519
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Entity Type | Organization
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Legal Business Name | TVS HEARING OF SOUTH CHARLOTTE, LLC.
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Dates
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Enumeration Date | 10/30/2014
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Last Update Date | 11/03/2014
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Provider Practice Location Address
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Address Line | 8334 PINEVILLE MATTHEWS RD STE 102
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City | CHARLOTTE
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State | NC
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Zip | 28226-3774
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Country | US
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Telephone | 704-496-9814
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Fax | 704-496-9815
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Provider Business Mailing Address
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Address Line | 109 CIRCLE DR
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City | DARLINGTON
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State | SC
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Zip | 29532-2505
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Country | US
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Telephone | 704-496-9814
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Fax | 704-496-9815
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Authorized Official
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Title or Position | OWNER
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Name | TERRY JOSEY
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Credential |
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Telephone | 704-496-9814
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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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