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General NPI Number Information
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NPI Number | 1497200695
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Entity Type | Organization
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Legal Business Name | DERBY CITY HEARING, INC.
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Dates
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Enumeration Date | 08/18/2016
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Last Update Date | 08/18/2016
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Provider Practice Location Address
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Address Line | 8607 SMYRNA PKWY.
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City | LOUISVILLE
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State | KY
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Zip | 40228
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Country | US
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Telephone | 502-290-9452
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Fax |
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Provider Business Mailing Address
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Address Line | 168 N. HURSTBOURNE PKWY.
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City | LOUISVILLE
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State | KY
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Zip | 40222
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Country | US
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Telephone | 502-883-1090
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHN KEVIN FRANKE
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Credential |
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Telephone | 502-883-1090
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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 |
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License Number State |
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