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General NPI Number Information
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NPI Number | 1356008098
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Entity Type | Organization
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Legal Business Name | X MARKS THE LEFT
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Dates
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Enumeration Date | 11/17/2021
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 13910 FIVAY RD STE 17
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City | HUDSON
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State | FL
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Zip | 34667-7130
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Country | US
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Telephone | 401-954-2981
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Fax |
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Provider Business Mailing Address
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Address Line | 13910 FIVAY RD STE 17
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City | HUDSON
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State | FL
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Zip | 34667-7130
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Country | US
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Telephone | 401-954-2981
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST/OWNER
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Name | LEIGH E SMITH
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Credential | AUD
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Telephone | 401-954-2981
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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 |
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License Number State |
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