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General NPI Number Information
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NPI Number | 1396271805
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Entity Type | Organization
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Legal Business Name | RYAN POMEROY INCORPERATED
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Dates
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Enumeration Date | 05/03/2017
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Last Update Date | 05/03/2017
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Provider Practice Location Address
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Address Line | 8780 US HIGHWAY 42 SUITE D
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City | FLORENCE
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State | KY
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Zip | 41042-6936
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Country | US
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Telephone | 859-384-0333
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Fax |
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Provider Business Mailing Address
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Address Line | 8780 US HIGHWAY 42 SUITE D
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City | FLORENCE
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State | KY
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Zip | 41042-6936
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Country | US
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Telephone | 859-384-0333
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. STEPHEN T RYAN-POMEROY
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Credential |
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Telephone | 859-384-0333
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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 | 170797
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License Number State | KY
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