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General NPI Number Information
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NPI Number | 1538473558
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Entity Type | Organization
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Legal Business Name | BOWIE HEARING CENTER
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Dates
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Enumeration Date | 08/02/2010
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Last Update Date | 03/19/2013
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Provider Practice Location Address
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Address Line | 3233 SUPERIOR LN SUITE B-2
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City | BOWIE
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State | MD
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Zip | 20715-1920
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Country | US
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Telephone | 301-464-6701
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Fax | 301-464-8217
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Provider Business Mailing Address
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Address Line | 3233 SUPERIOR LN SUITE B-2
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City | BOWIE
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State | MD
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Zip | 20715-1920
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Country | US
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Telephone | 301-464-6701
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Fax | 301-464-8217
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Authorized Official
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Title or Position | PRESIDENT/AUDIOLOGIST
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Name | DR. GWYNETH W. NEWCOMB
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Credential | AU.D.
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Telephone | 301-464-6701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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