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General NPI Number Information
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NPI Number | 1336669084
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Entity Type | Individual
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Provider Name | DANIEL DEMAREST DOCTOR OF AUDIOLOGY
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Gender | Male
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Dates
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Enumeration Date | 06/23/2017
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 655 WATKINS MILL RD
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3301
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Country | US
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Telephone | 240-632-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 655 WATKINS MILL RD
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3301
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Country | US
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Telephone | 240-632-4800
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 01630
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License Number State | MD
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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 | AT006505
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License Number State | PA
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