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General NPI Number Information
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NPI Number | 1497151211
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Entity Type | Individual
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Provider Name | ELIZABETH PERRY B.A.,H.A.S.,BC-H.I.S
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Gender | Female
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Dates
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Enumeration Date | 11/05/2014
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Last Update Date | 11/05/2014
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Provider Practice Location Address
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Address Line | 1900 TAMIAMI TRL SUITE 109
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-2180
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Country | US
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Telephone | 941-743-5211
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Fax | 941-743-6380
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Provider Business Mailing Address
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Address Line | 1900 TAMIAMI TRL SUITE 109
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-2180
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Country | US
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Telephone | 941-743-5211
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Fax | 941-743-6380
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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 | AS 3470
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License Number State | FL
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