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General NPI Number Information
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NPI Number | 1508193335
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Entity Type | Organization
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Legal Business Name | SUMTER & MARION HEARING, INC.
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Dates
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Enumeration Date | 11/16/2009
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 9570 SW HIGHWAY 200
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City | OCALA
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State | FL
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Zip | 34481-7720
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Country | US
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Telephone | 352-291-1467
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Fax | 352-291-1794
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Provider Business Mailing Address
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Address Line | 11251 COUNTY ROAD 223
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City | OXFORD
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State | FL
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Zip | 34484-3377
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Country | US
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Telephone | 352-572-0033
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Fax | 352-291-1794
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Authorized Official
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Title or Position | CO-OWNER
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Name | MRS. DEIDRA M RICHARDSON
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Credential | CO-OWNER
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Telephone | 352-572-0033
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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 |
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License Number State |
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