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General NPI Number Information
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NPI Number | 1477943835
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Entity Type | Individual
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Provider Name | WILLIAM EARLY
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Gender | Male
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Dates
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Enumeration Date | 01/23/2015
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Last Update Date | 01/23/2015
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Provider Practice Location Address
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Address Line | 2989 W STATE ROAD 434 SUITE 400
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City | LONGWOOD
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State | FL
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Zip | 32779-4463
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Country | US
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Telephone | 407-852-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 2965 ROLLING HILLS LN
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City | APOPKA
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State | FL
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Zip | 32712-6479
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Country | US
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Telephone | 407-852-5800
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Fax |
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS4290
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License Number State | FL
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