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General NPI Number Information
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NPI Number | 1467234021
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Entity Type | Organization
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Legal Business Name | DAYTONA BEACH HEARING LLC
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Dates
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Enumeration Date | 10/18/2023
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Last Update Date | 10/18/2023
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Provider Practice Location Address
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Address Line | 1808 W INTERNATIONAL SPEEDWAY BLVD STE 305
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-1227
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Country | US
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Telephone | 386-226-2007
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Fax |
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Provider Business Mailing Address
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Address Line | 506 TOMPKINS ST
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City | INVERNESS
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State | FL
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Zip | 34450-4141
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Country | US
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Telephone | 352-423-1799
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Fax | 352-306-6841
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Authorized Official
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Title or Position | PRESIDENT
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Name | HOLLY JOHNSON
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Credential |
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Telephone | 352-423-1799
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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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