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General NPI Number Information
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NPI Number | 1467815761
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Entity Type | Organization
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Legal Business Name | HEARING CONSERVATION ASSOCIATES INC
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Dates
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Enumeration Date | 04/04/2016
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Last Update Date | 04/04/2016
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Provider Practice Location Address
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Address Line | 9301 PARKWEST BLVD B-3
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City | KNOXVILLE
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State | TN
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Zip | 37923
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Country | US
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Telephone | 865-690-7531
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Fax |
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Provider Business Mailing Address
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Address Line | 9301 PARKWEST BLVD B-3
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City | KNOXVILLE
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State | TN
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Zip | 37923
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Country | US
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Telephone | 865-690-7531
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMES R CARROLL
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Credential | AU.D.
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Telephone | 865-690-7531
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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 | 0000000067
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License Number State | TN
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