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General NPI Number Information
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NPI Number | 1417385683
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Entity Type | Organization
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Legal Business Name | HEAR MASTERS OF TENNESSEE
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Dates
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Enumeration Date | 10/24/2013
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Last Update Date | 10/24/2013
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Provider Practice Location Address
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Address Line | 7730 WOLF RIVER BLVD SUITE 106
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City | GERMANTOWN
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State | TN
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Zip | 38138-1708
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Country | US
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Telephone | 901-771-2467
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Fax | 901-771-2469
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Provider Business Mailing Address
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Address Line | 7730 WOLF RIVER BLVD SUITE 106
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City | GERMANTOWN
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State | TN
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Zip | 38138-1708
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Country | US
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Telephone | 901-771-2467
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Fax | 901-771-2469
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Authorized Official
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Title or Position | OWNER
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Name | JAMES JOSEPH PICKLER
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Credential |
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Telephone | 731-343-2543
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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 |
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License Number State | TN
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