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General NPI Number Information
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NPI Number | 1477118685
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Entity Type | Organization
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Legal Business Name | EARMARK ENTERPRISES LLC
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Dates
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Enumeration Date | 05/02/2019
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Last Update Date | 05/02/2019
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Provider Practice Location Address
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Address Line | 121 HILL ST
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-2503
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Country | US
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Telephone | 630-240-1769
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 770807
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80477-0807
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Country | US
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Telephone | 630-240-1769
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | MR. ROBERT C POLE III
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Credential |
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Telephone | 630-240-1769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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