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General NPI Number Information
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NPI Number | 1386168987
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Entity Type | Individual
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Provider Name | TODD EUGENE EVERHART PA-HIS FITTER
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Gender | Male
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Dates
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Enumeration Date | 07/26/2017
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Last Update Date | 07/26/2017
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Provider Practice Location Address
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Address Line | 1930 S BROAD ST STE 27
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City | PHILADELPHIA
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State | PA
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Zip | 19145-2328
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Country | US
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Telephone | 215-465-5878
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Fax | 215-468-1830
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Provider Business Mailing Address
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Address Line | 1842 TIMBER LN
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City | HELLERTOWN
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State | PA
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Zip | 18055-2917
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Country | US
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Telephone | 610-442-2602
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | F03051
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License Number State | PA
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