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General NPI Number Information
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NPI Number | 1487518544
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Entity Type | Individual
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Provider Name | CAREY CAMPBELL MATHURIN
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Gender | Female
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 3540 HWY 78 SUITE 103
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City | LOGANVILLE
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State | GA
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Zip | 30052
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Country | US
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Telephone | 470-375-2196
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Fax |
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Provider Business Mailing Address
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Address Line | 1770 EISENHOWER AVE
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City | BOGART
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State | GA
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Zip | 30622-8321
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Country | US
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Telephone | 706-372-6258
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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 | HADS001144
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License Number State | GA
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