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General NPI Number Information
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NPI Number | 1376948091
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Entity Type | Organization
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Legal Business Name | AMBIT HEARING AID CENTERS
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Dates
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Enumeration Date | 10/23/2014
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Last Update Date | 10/23/2014
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Provider Practice Location Address
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Address Line | 1636 OAKBROOK DR SUITE B
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City | GAINESVILLE
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State | GA
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Zip | 30507-8492
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Country | US
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Telephone | 770-534-4150
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Fax |
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Provider Business Mailing Address
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Address Line | 1636 OAKBROOK DR SUITE B
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City | GAINESVILLE
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State | GA
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Zip | 30507-8492
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Country | US
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Telephone | 770-534-4150
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TIMOTHY O'BRYAN PEPPER
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Credential | H.I.S.
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Telephone | 770-534-4150
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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 | HADE034823
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License Number State | GA
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