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General NPI Number Information
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NPI Number | 1376266171
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Entity Type | Organization
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Legal Business Name | PRO HEAR GROUP LLC
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 1505 MAIN ST
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City | HILTON HEAD
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State | SC
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Zip | 29926-1608
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Country | US
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Telephone | 843-547-5832
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Fax |
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Provider Business Mailing Address
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Address Line | 149 PLANTATION RIDGE DR STE 140
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City | MOORESVILLE
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State | NC
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Zip | 28117-9175
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Country | US
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Telephone | 704-368-4700
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Fax | 704-251-6746
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | JARED GRIMES
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Credential |
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Telephone | 404-557-3599
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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 |
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License Number State |
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Taxonomy #2
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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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