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General NPI Number Information
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NPI Number | 1497297311
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Entity Type | Organization
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Legal Business Name | ALL MISSISSIPPI HEARING, INC
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Dates
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Enumeration Date | 11/09/2016
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Last Update Date | 11/09/2016
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Provider Practice Location Address
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Address Line | 2657 LAKELAND DR STE B
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City | FLOWOOD
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State | MS
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Zip | 39232-9516
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Country | US
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Telephone | 601-420-4001
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Fax | 601-420-4005
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Provider Business Mailing Address
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Address Line | 2657 LAKELAND DR STE B
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City | FLOWOOD
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State | MS
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Zip | 39232-9516
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Country | US
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Telephone | 601-420-4001
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Fax | 601-420-4005
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Authorized Official
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Title or Position | VICE PRESIDENT - CO-OWNER
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Name | DR. CARL J HIBBERT
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Credential | AUDIOLOGIST
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Telephone | 601-420-4001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | A2573
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License Number State | MS
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