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General NPI Number Information
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NPI Number | 1366704504
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Entity Type | Organization
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Legal Business Name | HEARING HEALTHCARE SOLUTIONS, INC.
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Dates
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Enumeration Date | 06/13/2012
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Last Update Date | 01/26/2017
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Provider Practice Location Address
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Address Line | 124 S AMELIA AVE #B
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City | DELAND
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State | FL
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Zip | 32724-5564
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Country | US
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Telephone | 386-736-3322
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Fax |
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Provider Business Mailing Address
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Address Line | 1751 BLUE RIDGE RD
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City | WINTER PARK
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State | FL
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Zip | 32789-5826
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Country | US
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Telephone | 239-218-0441
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW CRAIG PAVONE
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Credential | BC-HIS, HAS
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Telephone | 239-218-0441
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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 | AS3404
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License Number State | FL
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