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General NPI Number Information
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NPI Number | 1366683567
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Entity Type | Organization
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Legal Business Name | FAMILY HEARING AID CNTR.
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Dates
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Enumeration Date | 03/18/2009
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Last Update Date | 03/18/2009
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Provider Practice Location Address
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Address Line | 1936 S. SYCAMORE ST.
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City | PETERSBURG
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State | VA
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Zip | 23805
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Country | US
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Telephone | 804-862-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 1936 S. SYCAMORE ST.
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City | PETERSBURG
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State | VA
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Zip | 23805
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Country | US
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Telephone | 804-862-4000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. EDWARD EARL TYNER SR.
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Credential |
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Telephone | 804-862-4000
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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 |
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License Number State |
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