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General NPI Number Information
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NPI Number | 1346439445
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Entity Type | Organization
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Legal Business Name | GULF GATE HEARING AID CENTERS
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 10/15/2007
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Provider Practice Location Address
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Address Line | 2170 GULF GATE DR
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City | SARASOTA
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State | FL
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Zip | 34231-4813
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Country | US
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Telephone | 941-922-5894
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Fax |
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Provider Business Mailing Address
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Address Line | 2170 GULF GATE DR
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City | SARASOTA
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State | FL
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Zip | 34231-4813
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Country | US
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Telephone | 941-922-5894
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MARK W. RAHMAN
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Credential |
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Telephone | 941-922-5894
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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 | R550559751320
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License Number State | FL
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