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General NPI Number Information
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NPI Number | 1396378493
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Entity Type | Organization
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Legal Business Name | MCEPPK
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Dates
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Enumeration Date | 02/17/2020
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Last Update Date | 02/17/2020
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Provider Practice Location Address
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Address Line | 2721 S WOODLAND BLVD
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City | DELAND
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State | FL
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Zip | 32720-7005
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Country | US
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Telephone | 386-279-7537
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Fax |
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Provider Business Mailing Address
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Address Line | 2721 S WOODLAND BLVD
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City | DELAND
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State | FL
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Zip | 32720-7005
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Country | US
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Telephone | 386-279-7537
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JESSICA BELL
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Credential |
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Telephone | 386-279-7537
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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 |
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License Number State |
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