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General NPI Number Information
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NPI Number | 1437924156
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Entity Type | Organization
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Legal Business Name | NEXT WAVE HEARING, LLC
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Dates
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Enumeration Date | 11/22/2023
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 4499 GA HIGHWAY 40 E STE C
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City | SAINT MARYS
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State | GA
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Zip | 31558-9402
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Country | US
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Telephone | 912-439-3241
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Fax |
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Provider Business Mailing Address
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Address Line | 4499 GA HIGHWAY 40 E STE C
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City | SAINT MARYS
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State | GA
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Zip | 31558-9402
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Country | US
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Telephone | 912-439-3241
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Fax | 912-439-2030
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Authorized Official
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Title or Position | OWNER
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Name | MR. MASON MILLER
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Credential | H.I.S.
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Telephone | 912-439-3241
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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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Taxonomy #2
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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 |
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