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General NPI Number Information
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NPI Number | 1467225482
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Entity Type | Organization
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Legal Business Name | EMBRACE HEARING ACQUISITION COMPANY
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Dates
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Enumeration Date | 11/01/2023
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 4801 RADFORD AVE STE A
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City | RICHMOND
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State | VA
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Zip | 23230-3541
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Country | US
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Telephone | 757-617-6170
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Fax |
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Provider Business Mailing Address
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Address Line | 4801 RADFORD AVE STE A
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City | RICHMOND
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State | VA
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Zip | 23230-3541
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RYAN FORD
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Credential |
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Telephone | 757-617-6170
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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 |
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License Number State |
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