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General NPI Number Information
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NPI Number | 1346619574
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Entity Type | Organization
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Legal Business Name | SOUND HEARING CARE, LLC
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Dates
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Enumeration Date | 09/17/2015
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 100 W TRADE ST
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-2634
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Country | US
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Telephone | 864-881-1663
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Fax | 864-751-7524
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Provider Business Mailing Address
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Address Line | 100 W TRADE ST
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-2634
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Country | US
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Telephone | 864-881-1663
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Fax | 864-751-7524
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Authorized Official
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Title or Position | OWNER, HEARING INSTRUMENT SPECIALIS
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Name | MRS. JENNFIER DAWN WADDELL
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Credential | HIS
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Telephone | 864-315-9555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HAS-0524
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License Number State | SC
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