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General NPI Number Information
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NPI Number | 1396186854
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Entity Type | Individual
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Provider Name | APRIL JENNIFER WAYNE HEARING AID DISP
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Gender | Female
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Dates
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Enumeration Date | 07/12/2013
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Last Update Date | 07/12/2013
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Provider Practice Location Address
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Address Line | 3637 VISTA WAY
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City | OCEANSIDE
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State | CA
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Zip | 92056-4522
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Country | US
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Telephone | 760-652-5915
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Fax |
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Provider Business Mailing Address
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Address Line | 659 SHANAS LN
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City | ENCINITAS
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State | CA
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Zip | 92024-2459
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Country | US
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Telephone | 760-436-8109
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA7410
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License Number State | CA
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