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General NPI Number Information
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NPI Number | 1346775244
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Entity Type | Organization
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Legal Business Name | CAROLINA HEARING AND TINNITUS, PC
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Dates
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Enumeration Date | 04/28/2017
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Last Update Date | 07/14/2020
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Provider Practice Location Address
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Address Line | 217 W PARK AVE
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City | MOORESVILLE
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State | NC
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Zip | 28115-2243
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Country | US
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Telephone | 704-213-7116
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Fax |
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Provider Business Mailing Address
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Address Line | 217 W PARK AVE
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City | MOORESVILLE
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State | NC
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Zip | 28115-2243
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Country | US
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Telephone | 704-213-7116
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JULIA ROSSI
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Credential | AUD
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Telephone | 704-213-7116
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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 | 12273
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License Number State | NC
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