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General NPI Number Information
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NPI Number | 1356536296
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Entity Type | Organization
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Legal Business Name | HBC MARTY LAYNE ASSOCIATES, LLC
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 04/16/2013
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Provider Practice Location Address
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Address Line | 23 SPRING ST SUITE D
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City | SCARBOROUGH
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State | ME
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Zip | 04074-7701
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Country | US
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Telephone | 207-883-6466
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Fax | 207-883-6556
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Provider Business Mailing Address
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Address Line | 23 SPRING ST SUITE D
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City | SCARBOROUGH
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State | ME
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Zip | 04074-7701
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Country | US
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Telephone | 207-883-6466
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Fax | 207-883-6556
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MS. MARTHA A LAYNE
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Credential | AU.D.
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Telephone | 207-883-6466
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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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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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