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General NPI Number Information
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NPI Number | 1447281282
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Entity Type | Individual
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Provider Name | CHARLES LEE HARNEY AUDIOLOGIST
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 11/09/2016
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Provider Practice Location Address
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Address Line | 3134 LAKE WASHINGTON RD
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City | MELBOURNE
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State | FL
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Zip | 32934
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Country | US
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Telephone | 321-254-9919
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Fax | 787-722-0015
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Provider Business Mailing Address
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Address Line | 10455 RIVERSIDE DR.
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410
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Country | US
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Telephone | 561-478-8770
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Fax | 561-598-7230
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 103
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State | FL
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